Healthcare Provider Details

I. General information

NPI: 1255338216
Provider Name (Legal Business Name): ONCOLOGY AND HEMATOLOGY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 W RED BANK AVE SUITE 101
WOODBURY NJ
08096-1630
US

IV. Provider business mailing address

1029 N BROAD ST
WOODBURY NJ
08096-3503
US

V. Phone/Fax

Practice location:
  • Phone: 856-848-9292
  • Fax: 856-384-0275
Mailing address:
  • Phone: 856-848-5132
  • Fax: 856-384-0275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number StateNJ

VIII. Authorized Official

Name: DR. JOHN E STAMBAUGH JR.
Title or Position: PRESIDENT
Credential: M.D.,PH.D
Phone: 856-848-9292