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Peninsula Cancer Institute, Llc
Hematology & Oncology Physician in Newport News, Virginia
NPI 1508947342

Peninsula Cancer Institute, Llc is a Hematology & Oncology Physician based in Newport News, VA and is specialized in Hematology & Oncology. Peninsula Cancer Institute, Llc practices in Newport News, VA. The NPI Number for Peninsula Cancer Institute, Llc is 1508947342 and holds a License No. 0101043974 (Virginia).

The current practice location address for Peninsula Cancer Institute, Llc is 12100 Warwick Blvd., Newport News, VA and can be reached out via phone at 757-534-5555 and via fax at 757-534-5569.

Location: 12100 Warwick Blvd., Newport News, VA, 23601-1318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508947342
Provider Name
Peninsula Cancer Institute, Llc
Credential
Provider Entity Type
Organization
Address
12100 Warwick Blvd., Newport News, VA, 23601-1318
Phone Number
757-534-5555
Fax Number
757-534-5569
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0101047727 05 VA
010125626 05 VA
010162338 05 VA
010202761 05 VA
010228484 05 VA
institution
Provider Business Practice Location Address Details
Address
12100 Warwick Blvd.
City
Newport News
State
Virginia
Zip
23601-2365
Phone Number
757-534-5555
Fax Number
757-534-5569
person
Provider Business Mailing Address Details
Address
12100 Warwick Blvd.
City
Newport News
State
Virginia
Zip
23601-2365
Phone Number
757-534-5555
Fax Number
757-534-5569
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
0101043974 (Virginia)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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