PLEASANT LAKE CANCER CENTER LLC
Hematology & Oncology

NPI Profile for PLEASANT LAKE CANCER CENTER LLC in HARWICH, MA.

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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Contact Information

PLEASANT LAKE CANCER CENTER LLC

253 PLEASANT LAKE AVE
HARWICH, MA 02645-2552

Phone: 617-785-2066
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Hematology & Oncology	207RH0003X	11	Physician/Internal Medicine
Clinic/Center	261Q00000X
Infusion Therapy	261QI0500X
Medical Oncology	207RX0202X	11	Physician/Internal Medicine
Multi-Specialty	261QM1300X	70	Clinic or Group Practice
Oncology	261QX0200X

Indicates primary specialty

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NPI Profile & details for PLEASANT LAKE CANCER CENTER LLC · (Female)

NPI Number	`1780364240`
Status	Active
Credentials
Entity	Individual
Enumeration date	07/20/2023
Last updated	07/20/2023 - About 3 years ago
Sole proprietor ¹	Not specified
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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