Provider Demographics
NPI:1134173560
Name:HEMATOLOGY ONCOLOGY ASSOCIATES INC
Entity type:Organization
Organization Name:HEMATOLOGY ONCOLOGY ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELLIOT
Authorized Official - Middle Name:L
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-402-6898
Mailing Address - Street 1:1650 VALLEY CENTER PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-2344
Mailing Address - Country:US
Mailing Address - Phone:484-884-4436
Mailing Address - Fax:484-884-4444
Practice Address - Street 1:1240 S CEDAR CREST BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6218
Practice Address - Country:US
Practice Address - Phone:610-402-6898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA038355OtherAMERIHEALTH ADMIN
PA1007313850011Medicaid
PACB1243OtherRAILROAD MEDICARE
PA02342300OtherCAPITAL BLUE CROSS
PAG117744OtherOXFORD HEALTH PLAN
PA0041205000OtherAMERIHEALTH (IBC)
PA038355OtherHIGHMARK BLUE SHIELD
PA0041205000OtherKEYSTONE EAST (IBC)
PA1514943OtherGATEWAY HEALTH PLAN
PA038355OtherAMERIHEALTH ADMIN
PA0041205000OtherAMERIHEALTH (IBC)