Basic Information
Provider Information
NPI: 1811289127
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALITE
FirstName: FIORI
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Mailing Information
Address1: 100 NORTH ACADEMY AVE.
Address2:  
City: DANVILLE
State: PA
PostalCode: 178224903
CountryCode: US
TelephoneNumber: 5702716144
FaxNumber:  
Practice Location
Address1: 75 MEDICAL PARK DR.
Address2:  
City: LEWISBURG
State: PA
PostalCode: 178376074
CountryCode: US
TelephoneNumber: 5705239200
FaxNumber: 5705239205
Other Information
ProviderEnumerationDate: 05/04/2011
LastUpdateDate: 08/30/2020
NPIDeactivationReasonCode:  
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NPIReactivationDate:  
ProviderGenderCode: M
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IsSoleProprietor: N
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AuthorizedOfficialCredential:  
NPICertificationDate: 08/30/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0001X125060994ILN Allopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
2085R0001XMD457316PAY Allopathic & Osteopathic PhysiciansRadiologyRadiation Oncology

No ID Information.


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