Outer Banks Hematology Oncology PA

NPI #1437102829 in Nags Head, North Carolina

Provider Information

NPI Number
1437102829
Entity Type
Organization
Organization Name
Outer Banks Hematology Oncology PA
Primary Specialty
Internal Medicine - Hematology & Oncology
Enumeration Date
May 18, 2006
Last Updated
Mar 16, 2010

Practice Location

Address
4810 S CROATAN HWY
Address 2
SUITE 120
ZIP Code
27959-8508
Phone
(252) 480-4699

Authorized Official

Name
JOSE M ACOSTAMADIEDO, M.D.
Title
PRESIDENT
Phone
(252) 480-4699

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Hematology & OncologyHematology & Oncology

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