Provider Demographics
NPI:1821315995
Name:GETTYSBURG RADIATION ONCOLOGY
Entity Type:Organization
Organization Name:GETTYSBURG RADIATION ONCOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPOSTAGNO
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:717-337-2101
Mailing Address - Street 1:20 EXPEDITION TRAIL
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325
Mailing Address - Country:US
Mailing Address - Phone:717-337-2101
Mailing Address - Fax:717-334-5599
Practice Address - Street 1:20 EXPEDITION TRL
Practice Address - Street 2:SUITE 100
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-8598
Practice Address - Country:US
Practice Address - Phone:717-337-2101
Practice Address - Fax:717-334-5599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAC20488622085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty