Provider Demographics
NPI:1912663121
Name:ONCOHEALTH MEDICAL GROUP, P.A.
Entity Type:Organization
Organization Name:ONCOHEALTH MEDICAL GROUP, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:ZUCKERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:208-781-1434
Mailing Address - Street 1:7000 CENTRAL PKWY STE 1750
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4599
Mailing Address - Country:US
Mailing Address - Phone:561-901-1741
Mailing Address - Fax:
Practice Address - Street 1:7000 CENTRAL PKWY STE 1750
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-4599
Practice Address - Country:US
Practice Address - Phone:561-901-1741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-11
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty