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General NPI Number Information
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NPI Number | 1255338216
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Entity Type | Organization
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Legal Business Name | ONCOLOGY AND HEMATOLOGY ASSOCIATES
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Dates
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Enumeration Date | 07/06/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 17 W RED BANK AVE SUITE 101
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City | WOODBURY
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State | NJ
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Zip | 08096-1630
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Country | US
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Telephone | 856-848-9292
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Fax | 856-384-0275
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Provider Business Mailing Address
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Address Line | 1029 N BROAD ST
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City | WOODBURY
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State | NJ
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Zip | 08096-3503
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Country | US
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Telephone | 856-848-5132
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Fax | 856-384-0275
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN E STAMBAUGH JR.
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Credential | M.D.,PH.D
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Telephone | 856-848-9292
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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 | NJ
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