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NPI 1013624139

NPI 1013624139 : TITAN HEALTH PARTNERS, LLC DBA ASTERA CANCER CARE : NEW BRUNSWICK, NJ

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General NPI Number Information
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    NPI Number           |    1013624139
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    Entity Type          |    Organization 
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    Legal Business Name  |    TITAN HEALTH PARTNERS, LLC DBA ASTERA CANCER CARE 
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Dates
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    Enumeration Date     |    10/28/2022
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    Last Update Date     |    01/30/2024
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Provider Practice Location Address
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    Address Line         |    215 EASTON AVE 
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    City                 |    NEW BRUNSWICK
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    State                |    NJ
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    Zip                  |    08901-1722
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    Country              |    US
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    Telephone            |    732-724-1739
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    Fax                  |    609-395-7955
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Provider Business Mailing Address
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    Address Line         |    629 CRANBURY RD FL 2 
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    City                 |    EAST BRUNSWICK
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    State                |    NJ
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    Zip                  |    08816-4096
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    Country              |    US
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    Telephone            |    732-390-7750
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    Fax                  |    732-390-7725
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Authorized Official
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    Title or Position    |    CL VICE PRESIDENT, CHIEF ADMINISTRA
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    Name                 |     EILEEN  PENG 
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    Credential           |    
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    Telephone            |    732-390-7750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2085R0001X
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    Taxonomy Name        |    Radiation Oncology Physician
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    License Number       |    
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    License Number State |    
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