| NPI | 1982120366 |
|---|---|
| Doing Business As | MMSEPA RADIATION ONCOLOGY |
| Entity Type | Organization |
| Authorized Contact | AMIEE BRENNAN Credentialing Supervisor 610-567-6964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2018-03-17 |