Oncology Specialists Of Charlotte Pa

LBN: Oncology Specialists Of Charlotte Pa
Oncology Specialists Of Charlotte Pa is an health care organization with primary practice located at 2711 Randolph Rd Ste 400 , Charlotte NC 28207-2027. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Oncology Specialists Of Charlotte Pa can be contacted via phone (704) 342-1900, or through Favaro, Justin P via phone (704) 342-9550.

Contact Information

Primary practice address
2711 Randolph Rd Ste 400 Charlotte NC 28207-2027
Fax: (704) 377-0353
Website:
Authorized official contact:
Name: Favaro, Justin P Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X

Profile Details

NPI number 1467406736
LBN Legal business name Oncology Specialists Of Charlotte Pa
DBA Doing business as
Authorized official Favaro, Justin P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated Jun 28th, 2024 - about 3 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467406736 NPPES
North Carolina Other 02257 BCBSNC
North Carolina Other CH1821 BCBSNC
North Carolina MEDICAID 8902257 BCBSNC

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