RADIATION THERAPY OF SOUTHEASTERN MASS, LLC; NPI #1104978519

Contact Information

RADIATION THERAPY OF SOUTHEASTERN MASS, LLC

89 FORBES BLVD
MANSFIELD, MA 02048-1125

Phone: 857-307-3700
Fax: 857-307-3710
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oncology, Radiation	261QX0203X

Indicates primary specialty

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

NPI # 1104978519

LBN Legal business name RADIATION THERAPY OF SOUTHEASTERN MASS, LLC

Authorized official TIFFANY ZEWE - (VP)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/17/2007

Last updated 05/06/2026 - About a month ago

Identifiers

Medicaid

110077799B

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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