MEDICARE: HAMILTON HEMATOLOGY ONCOLOGY ASSOCIATES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	MA068850	NJ
2	207RH0003X	Hematology & Oncology Physician	MA043906	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992703748
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMILTON HEMATOLOGY ONCOLOGY ASSOCIATES PC

Provider Business Mailing Address
First Line	:	2079 KLOCKNER RD
Second Line	:
City	:	HAMILTON SQUARE
State	:	NJ
Zip	:	08690-3415
Country	:	US
Telephone Number	:	609-890-1056
Fax Number	:	609-890-7143

Provider Business Practice Location Address
First Line	:	2079 KLOCKNER RD
Second Line	:
City	:	HAMILTON SQUARE
State	:	NJ
Zip	:	08690-3415
Country	:	US
Telephone Number	:	609-890-1056
Fax Number	:	609-890-7143

Authorized Official
Title or Position	:	OWNER
Name	:	DR. NENITA P MCINTOSH
Credential	:	M.D.
Telephone Number	:	609-890-1056

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	08/22/2020

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