Peninsula Cancer Institute LLC

NPI #1710218664 in Onancock, Virginia

Provider Information

NPI Number
1710218664
Entity Type
Organization
Organization Name
Peninsula Cancer Institute LLC
Subpart
Yes (part of a larger organization)
Parent Organization
RIVERSIDE HEALTHCARE ASSOCIATES
Primary Specialty
Internal Medicine - Hematology & Oncology
Enumeration Date
Jan 15, 2010
Last Updated
Feb 9, 2017

Practice Location

Address
20480 MARKET STREET
ZIP Code
23417
Phone
(757) 302-2600

Authorized Official

Name
BRADEN MILLER
Title
CFO
Phone
(757) 316-5800

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Hematology & OncologyHematology & Oncology

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