Provider Demographics
NPI:1154370930
Name:MONADNOCK RADIATION ONCOLOGY ASSOCIATES, PC
Entity type:Organization
Organization Name:MONADNOCK RADIATION ONCOLOGY ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVENE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-352-5881
Mailing Address - Street 1:217P OLD HOMESTEAD HWY
Mailing Address - Street 2:
Mailing Address - City:SWANZEY
Mailing Address - State:NH
Mailing Address - Zip Code:03446-2140
Mailing Address - Country:US
Mailing Address - Phone:603-352-5881
Mailing Address - Fax:603-357-5768
Practice Address - Street 1:580 COURT ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-1715
Practice Address - Country:US
Practice Address - Phone:603-354-6500
Practice Address - Fax:603-357-5768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH80002649Medicaid
NH80002649Medicaid