| Organization Name: | NORTHERN OHIO REGIONAL CANCER CENTER |
| NPI Number: | 1962735852 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JON PRESCOTT (MEDICAL DIRECTOR) |
| Mailing Address: | 5260 Smith Rd Brook Park |
| State: | OH US |
| Postal Code: | 441421747 |
| Phone Number: | 2162654580 |
| Fax Number: | |
| NPI Enumeration Date: | 09/10/2009 |
| NPI Last Update Date: | 09/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0203X |
| License Number: | 35062430 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Oncology, Radiation |
| Taxonomy Definition: | |