Provider Demographics
NPI:1962464347
Name:MEDICAL ONCOLOGY & HEMATOLOGY, P.C.
Entity Type:Organization
Organization Name:MEDICAL ONCOLOGY & HEMATOLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:P
Authorized Official - Last Name:CUIFFO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-586-1410
Mailing Address - Street 1:225 QUINCY AVE
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02302-2864
Mailing Address - Country:US
Mailing Address - Phone:508-586-1410
Mailing Address - Fax:508-427-1730
Practice Address - Street 1:225 QUINCY AVE
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02302-2864
Practice Address - Country:US
Practice Address - Phone:508-586-1410
Practice Address - Fax:508-427-1730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-03
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA00000005582OtherBMC GROUP #
MA0011328OtherNEIGHBORHOOD HEALTH GROUP
MA600338OtherSECURE HORIZONS GROUP #
MACL6573OtherRR MEDICARE
MA9717196Medicaid
MAM12838OtherBC 65 GROUP #
MA600034OtherHPHC GROUP #
MA600338OtherTUFTS GROUP #
MAM12838OtherBLUE SHIELD GROUP #
MAM12838Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER