Healthcare Provider Details

I. General information

NPI: 1629894852
Provider Name (Legal Business Name): TITAN HEALTH PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2024
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1608 ROUTE 88 W STE 250
BRICK NJ
08724-3044
US

IV. Provider business mailing address

629 CRANBURY RD FL 2
EAST BRUNSWICK NJ
08816-4096
US

V. Phone/Fax

Practice location:
  • Phone: 732-840-8880
  • Fax:
Mailing address:
  • Phone: 732-390-7750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: EILEEN PENG
Title or Position: CL VICE PRESIDENT
Credential:
Phone: 732-390-7750