RADIATION THERAPY SERVICES AT CENTRAL MASSACHUSETTS CANCER CENTER – NPI #1336389634
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

RADIATION THERAPY SERVICES AT CENTRAL MASSACHUSETTS CANCER CENTER is a radiologist located in SOUTHBRIDGE, MA. NPPES has assigned the NPI number 1336389634 to RADIATION THERAPY SERVICES AT CENTRAL MASSACHUSETTS CANCER CENTER on February 26, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RADIATION THERAPY SERVICES AT CENTRAL MASSACHUSETTS CANCER CENTER” is a dba name, the actual legal business name for this organization is CENTRAL MASSACHUSETTS COMPREHENSIVE CANCER CENTER, LLC. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 3 years ago on Sep 25, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RADIATION THERAPY SERVICES AT CENTRAL MASSACHUSETTS CANCER CENTER below.

NPI Profile for
CENTRAL MASSACHUSETTS COMPREHENSIVE CANCER CENTER, LLC

NPI Number
1336389634
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTRAL MASSACHUSETTS COMPREHENSIVE CANCER CENTER, LLC
Doing Business As (dba): RADIATION THERAPY SERVICES AT CENTRAL MASSACHUSETTS CANCER CENTER
Primary location
55 SAYLES STREET
SOUTHBRIDGE, MA 01550
Phone: (239) 931-7342 Fax: (239) 931-7385
Mailing address
1419 SE 8TH TER STE 200
CAPE CORAL, FL 33990-3213
Phone: (239) 931-7342 Fax: (239) 931-7385
Organization Subpart
No
Authorized Official
SHADEN MARZOUK
PRESIDENT
Phone: (239) 931-7254
Updated
Certification Date
Sep 25, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.