National Provider Identifier Database

HAVERTOWN RADIOSURGERY CENTER PC
Oncology, Radiation


Contact Information

HAVERTOWN RADIOSURGERY CENTER, PC
2010 W CHESTER PIKE
SUITE 115
HAVERTOWN, PA19083-2700
Phone: 610-446-6850
Fax: 610-446-6852
Website:
Specialty Taxonomy Code
* Oncology, Radiation 261QX0203X

* Indicates primary specialty

NPI Profile & details for HAVERTOWN RADIOSURGERY CENTER, PC

NPI Number 1891737508
Legal business name
LBN
HAVERTOWN RADIOSURGERY CENTER, PC
Authorized official LUTHER BRADY - (CO-OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/10/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: AC20-48878

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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