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VIRGINIA CANCER INSTITUTE INCORPORATED

Physicians Internal Medicine Hematology & Oncology

Provider NPI: 1851863815

Organization Information:
Organization Name:  VIRGINIA CANCER INSTITUTE INCORPORATED
Organization is not Subpart
Authorized Official:  PABLO M GONZALEZ  PRESIDENT/MANAGING PARTNER  804-330-7990

Practice Location:
6130 HARBOURSIDE CENTRE LOOP SUITE 101 MIDLOTHIAN, VA 23112-2170 US
Tel: 804-378-0394  Fax: 804-739-7649

Business Mailing Address:
7202 GLEN FOREST DR STE 200  RICHMOND, VA 23226-3780 US
Tel: 804-391-4171  Fax: 804-200-6229

NPI Information:
NPI: 1851863815
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207RH0003XPhysicians
Internal Medicine
Hematology & Oncology
N2085R0202XPhysicians
Radiology
Y293D00000XLaboratories
Physiological Laboratory

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 293D00000X

Type:

Classification:



Definition:



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