Healthcare Provider Details

I. General information

NPI: 1063628113
Provider Name (Legal Business Name): HEAD & NECK ONCOLOGY GROUP OF CENTRAL JERSEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

254 EASTON AVE
NEW BRUNSWICK NJ
08901-1766
US

IV. Provider business mailing address

254 EASTON AVE
NEW BRUNSWICK NJ
08901-1766
US

V. Phone/Fax

Practice location:
  • Phone: 732-745-8600
  • Fax: 732-448-0339
Mailing address:
  • Phone: 732-745-8600
  • Fax: 732-448-0339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0200X
TaxonomyOncology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT P. FEIN
Title or Position: CHAIRMAN
Credential: M.D.
Phone: 732-745-8600