=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174578678
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RAHWAY RADIATION ONCOLOGY ASSOCIATES PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/23/2006
-----------------------------------------------------
Last Update Date | 09/21/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 892 TRUSSLER PL
-----------------------------------------------------
City | RAHWAY
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07065-2746
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-382-5550
-----------------------------------------------------
Fax | 732-382-2407
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 892 TRUSSLER PL
-----------------------------------------------------
City | RAHWAY
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07065-2746
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-382-5550
-----------------------------------------------------
Fax | 732-382-2407
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. ERIC A KARP
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 732-382-5550
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2085R0001X
-----------------------------------------------------
Taxonomy Name | Radiation Oncology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------