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General NPI Number Information
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NPI Number | 1154400984
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Entity Type | Organization
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Legal Business Name | THE CANCER CENTER PC
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 66 SUNSET STRIP STE 309
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City | SUCCASUNNA
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State | NJ
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Zip | 07876-1362
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Country | US
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Telephone | 800-232-1104
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Fax | 973-984-6661
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Provider Business Mailing Address
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Address Line | 22 NORMANDY PARKWAY
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City | MORRISTOWN
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State | NJ
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Zip | 07960
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Country | US
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Telephone | 800-232-1104
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Fax | 973-984-6661
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ROBERT JOHN COLE
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Credential | MD
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Telephone | 973-951-1225
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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 | MA42604
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License Number State | NJ
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