Provider Demographics
NPI:1780724047
Name:PRH ONCOLOGY
Entity type:Organization
Organization Name:PRH ONCOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:STUART
Authorized Official - Middle Name:
Authorized Official - Last Name:HEMMING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-433-4030
Mailing Address - Street 1:155 BORTHWICK AVE
Mailing Address - Street 2:SUITE 303
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4152
Mailing Address - Country:US
Mailing Address - Phone:603-433-5226
Mailing Address - Fax:603-433-4939
Practice Address - Street 1:155 BORTHWICK AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4152
Practice Address - Country:US
Practice Address - Phone:603-433-5226
Practice Address - Fax:603-433-4939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
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
NH30214095Medicaid
NH30214095Medicaid
NHRE8619Medicare ID - Type Unspecified