Regional Cancer Care Associates At The John Theurer Cancer Center

NPI 1134565997 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1134565997
Enumeration Date 05/20/2013
Last Updated 05/20/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ANDRE ANDRE
Position DIRECTOR
Phone (551) 996-5900
Fax
Practice Location
92 2ND ST
HACKENSACK NJ, 07601-2105, US
Phone (551) 996-5900
Fax
Business Location
112 CADMUS AVE
ELMWOOD PARK NJ, 07407-2500, US
Phone (201) 314-3665
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State New Jersey
License Number 26NJ00435700
Remove 1134565997 NPI Number
 

According to our database, Regional Cancer Care Associates At The John Theurer Cancer Center NPI is 1134565997, taxonomy code is 363LA2200X and license number is 26NJ00435700, license state is located at New Jersey. Regional Cancer Care Associates At The John Theurer Cancer Center physically located at 92 2nd St, Hackensack NJ, 07601-2105. NPI Number 1033115704 has the healthcare provider type.

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1134565997 NPI number is provided on an as is basis without warranty of any kind. 1134565997 is maintained by the National Plan & Provider Enumeration System. The contents of Regional Cancer Care Associates At The John Theurer Cancer Center are for informational purposes only.