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General NPI Number Information
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NPI Number | 1346249174
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Entity Type | Organization
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Legal Business Name | GAMMA-ELECTRON RADIATION ONCOLOGY ASSOCIATES
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 33 OVERLOOK RD L-05
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City | SUMMIT
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State | NJ
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Zip | 07901-3570
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Country | US
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Telephone | 908-522-2871
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Fax | 908-522-5628
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Provider Business Mailing Address
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Address Line | PO BOX 4127
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City | WARREN
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State | NJ
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Zip | 07059-0127
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Country | US
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Telephone | 908-754-7711
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Fax | 908-754-8885
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROY C CABRERA
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Credential | M.D.
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Telephone | 908-754-7711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | MA29760
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License Number State | NJ
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