Healthcare Provider Details

I. General information

NPI: 1417119702
Provider Name (Legal Business Name): COMPREHENSIVE HEM-ONC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2008
Last Update Date: 06/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 OAK TREE AVE STE I
SOUTH PLAINFIELD NJ
07080-5100
US

IV. Provider business mailing address

908 OAK TREE AVE STE I
SOUTH PLAINFIELD NJ
07080-5100
US

V. Phone/Fax

Practice location:
  • Phone: 732-321-1100
  • Fax:
Mailing address:
  • Phone: 732-321-1100
  • 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: DR. JOVENIA S. CELO
Title or Position: MEMBER
Credential: MD
Phone: 732-321-1100