Organization Name: | MCCI-MACOMB CANCER CENTER |
NPI Number: | 1093780371 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FARIDEH R. BAGNE (CEO) |
Mailing Address: | 17435 Hall Rd Macomb |
State: | MI US |
Postal Code: | 480444061 |
Phone Number: | 5862280299 |
Fax Number: | 5862285918 |
NPI Enumeration Date: | 02/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0001X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Radiation Oncology |
Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |