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Contact Information

CENTRIC RADIATION ONCOLOGY PC
470 JOHN YOUNG WAY
SUITE 400
EXTON, PA19341
 Phone: 610-524-5550
 Fax: 610-524-5546
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for CENTRIC RADIATION ONCOLOGY PC

NPI # 1225010234
LBN Legal business name CENTRIC RADIATION ONCOLOGY PC
Authorized official RICHARD YELOVICH - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/16/2005
Last updated 07/21/2022 - About 4 years ago
Identifiers
PA Medicaid 0016763100002
PA Medicaid 0016763100003
PA Other 084362 BCBS PA
PA Other 0121427000 KEYSTONE 65
PA Other 0121427000 KEYSTONE HEALTH PLAN EAST
PA Other CG2734 RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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