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General NPI Number Information
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NPI Number | 1669485363
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Entity Type | Organization
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Legal Business Name | CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY, PC
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 409 ROUTE 70 E
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City | CHERRY HILL
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State | NJ
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Zip | 08034-2413
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Country | US
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Telephone | 856-429-1519
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Fax |
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Provider Business Mailing Address
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Address Line | 409 ROUTE 70 E
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City | CHERRY HILL
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State | NJ
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Zip | 08034-2413
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Country | US
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Telephone | 856-429-1519
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Fax |
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Authorized Official
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Title or Position | SR. ENROLLMENT MANAGER
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Name | STACY GRECO
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Credential |
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Telephone | 223-341-8516
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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 | PA
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