Provider Demographics
NPI:1265601058
Name:CENTER FOR CANCER AND HEMATOLOGIC DISEASE PA
Entity type:Organization
Organization Name:CENTER FOR CANCER AND HEMATOLOGIC DISEASE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:SIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:854-424-3311
Mailing Address - Street 1:1930 EAST ROUTE 70
Mailing Address - Street 2:SUITE V107
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003
Mailing Address - Country:US
Mailing Address - Phone:856-424-3311
Mailing Address - Fax:856-489-0888
Practice Address - Street 1:239 HUFFVILLE-CROSS KEYS ROAD
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080
Practice Address - Country:US
Practice Address - Phone:856-404-9719
Practice Address - Fax:856-489-0888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
146176Medicare PIN