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General NPI Number Information
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NPI Number | 1104827831
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Entity Type | Organization
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Legal Business Name | CENTER FOR CANCER AND HEMATOLOGIC DISEASE PA
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 1930 ROUTE 70 E SUITE V107
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2150
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Country | US
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Telephone | 856-424-3311
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Fax | 856-424-5634
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Provider Business Mailing Address
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Address Line | 1930 ROUTE 70 E SUITE V107
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2150
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Country | US
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Telephone | 856-424-3311
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Fax | 856-424-5634
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | RICHARD GREENBERG
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Credential | M.D.
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Telephone | 856-424-3311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology 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 | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number |
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License Number State |
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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 |
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License Number State |
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