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General NPI Number Information
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NPI Number | 1093018202
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Entity Type | Organization
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Legal Business Name | CENTRAL JERSEY ONCOLOGY CENTER, PA
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Dates
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Enumeration Date | 12/09/2010
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Last Update Date | 05/22/2012
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Provider Practice Location Address
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Address Line | 300A PRINCETON HIGHTSTOWN RD SUITE 202
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City | EAST WINDSOR
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State | NJ
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Zip | 08520-1421
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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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Provider Business Mailing Address
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Address Line | J2 BRIER HILL CT
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City | E. BRUNSWICK
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State | NJ
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Zip | 08816
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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 | MANAGING PARTNER
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Name | BRUNO S FANG
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Credential | MD
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Telephone | 732-828-9570
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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 | 25MA04923400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 25MA04468600
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 25MA07087400
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 25MA07142100
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 25MA07301300
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License Number State | NJ
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Taxonomy #6
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 25MA08099000
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License Number State | NJ
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Taxonomy #7
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 25MA03514200
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License Number State | NJ
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