Healthcare Provider Details

I. General information

NPI: 1508106162
Provider Name (Legal Business Name): REGIONAL CANCER CARE ASSOCIATES LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2013
Last Update Date: 04/21/2024
Certification Date: 04/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 OLD HOOK RD SUITE 301
WESTWOOD NJ
07675-3123
US

IV. Provider business mailing address

250 OLD HOOK RD SUITE 301
WESTWOOD NJ
07675-3123
US

V. Phone/Fax

Practice location:
  • Phone: 201-383-4840
  • Fax: 201-383-4824
Mailing address:
  • Phone: 201-383-4840
  • Fax: 201-383-4824

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: TERRILL JORDAN
Title or Position: PRESIDENT/CEO
Credential:
Phone: 201-510-0910