Healthcare Provider Details
I. General information
NPI: 1174578678
Provider Name (Legal Business Name): RAHWAY RADIATION ONCOLOGY ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/23/2006
Last Update Date: 09/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
892 TRUSSLER PL
RAHWAY NJ
07065-2746
US
IV. Provider business mailing address
892 TRUSSLER PL
RAHWAY NJ
07065-2746
US
V. Phone/Fax
- Phone: 732-382-5550
- Fax: 732-382-2407
- Phone: 732-382-5550
- Fax: 732-382-2407
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ERIC
A
KARP
Title or Position: OWNER
Credential:
Phone: 732-382-5550