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Contact Information

CRYSTAL COAST RADIATION ONCOLOGY
2000 NEUSE BLVD
NEW BERN, NC28560-3449
 Phone: 252-633-8730
 Fax: 252-633-8736
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for CRYSTAL COAST RADIATION ONCOLOGY

NPI Number 1417955097
LBN Legal business name CRYSTAL COAST RADIATION ONCOLOGY
Authorized official CHRISTOPHER PHILIPPART - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/08/2005
Last updated 07/21/2022 - About 4 years ago
Identifiers
NC Medicaid 8902713
NC Other 02713 BCBS NC GROUP NUMBER
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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