Healthcare Provider Details

I. General information

NPI: 1760722326
Provider Name (Legal Business Name): REGIONAL CANCER CARE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2013
Last Update Date: 02/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 OAK TREE AVE SUITE I/J
SOUTH PLAINFIELD NJ
07080-5100
US

IV. Provider business mailing address

908 OAK TREE AVE SUITE I/J
SOUTH PLAINFIELD NJ
07080-5100
US

V. Phone/Fax

Practice location:
  • Phone: 908-205-8403
  • Fax: 908-205-8407
Mailing address:
  • Phone: 908-205-8403
  • Fax: 908-205-8407

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: STEVEN YOUNG
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 908-205-8403