Provider Demographics
NPI:1962462366
Name:HEMATOLOGY & ONCOLOGY CONSULTANTS OF PENNSYLVANIA, P.C.
Entity Type:Organization
Organization Name:HEMATOLOGY & ONCOLOGY CONSULTANTS OF PENNSYLVANIA, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:R
Authorized Official - Last Name:LEAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-975-8900
Mailing Address - Street 1:101 ERFORD RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-1802
Mailing Address - Country:US
Mailing Address - Phone:717-975-8900
Mailing Address - Fax:717-975-9400
Practice Address - Street 1:101 ERFORD RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-1802
Practice Address - Country:US
Practice Address - Phone:717-975-8900
Practice Address - Fax:717-975-9400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-28
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50026517OtherBLUE CROSS GROUP NUMBER
PA1548596OtherBLUE SHIELD GROUP NUMBER
PA5380860001Medicare NSC
PA50026517OtherBLUE CROSS GROUP NUMBER