National Provider Identifier Database

RADIATION THERAPY OF SOUTHEASTERN MASS LLC
Oncology, Radiation


Contact Information

RADIATION THERAPY OF SOUTHEASTERN MASS, LLC
89 FORBES BLVD
MANSFIELD, MA02048-1125
Phone: 857-307-3700
Fax: 857-307-3710
Website:
Specialty Taxonomy Code
* Oncology, Radiation 261QX0203X

* Indicates primary specialty

NPI Profile & details for RADIATION THERAPY OF SOUTHEASTERN MASS, LLC

NPI Number 1104978519
Legal business name
LBN
RADIATION THERAPY OF SOUTHEASTERN MASS, LLC
Authorized official TIFFANY ZEWE - (VP)
Entity Organization
Organization subpart No
Enumeration date 01/17/2007
Last updated 05/06/2026 - About a month ago
Sole proprietor1 Not specified
Identifiers
  • MA Medicaid: 110077799B

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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