Provider Demographics
NPI:1306990270
Name:ONCOLOGY AND HEMATOLOGY, P.A.
Entity type:Organization
Organization Name:ONCOLOGY AND HEMATOLOGY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIR
Authorized Official - Middle Name:M
Authorized Official - Last Name:MOUSAVI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-629-0260
Mailing Address - Street 1:701 MIDDLEFORD RD
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-3600
Mailing Address - Country:US
Mailing Address - Phone:302-629-0260
Mailing Address - Fax:302-629-3418
Practice Address - Street 1:701 MIDDLEFORD RD
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-3600
Practice Address - Country:US
Practice Address - Phone:302-629-0260
Practice Address - Fax:302-629-3418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Single Specialty