OrganizationActive
Alliance Cancer Specialists
NPI 1598877813 · Hematology & Oncology Physician · Wynnewood, PA
Provider details
- NPI number
- 1598877813
- Entity type
- Organization
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Consultants in Medical Oncology & Hematology, PC
- Organization subpart
- Yes
- Authorized official
- Kim Distasio, Practice Manager(610) 645-2494
- License
- MC542764A (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
100 Lancaster Ave
Wynnewood, PA 19096
Phone: (610) 645-2494
Fax: (610) 645-4456
Approximate (ZIP-level) locationGet directions
Mailing address
100 E Lancaster Avenue Suite 100
Wynnewood, PA 19096
Other names (DBA / former)
- Doing business as
- Main Line Oncology Hematology Associates
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2022-02-24
- Certified
- 2022-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.