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General NPI Number Information
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NPI Number | 1972558344
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Entity Type | Organization
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Legal Business Name | RADIATION ONCOLOGY ASSOC OF NORTH JERSEY PA
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 100 MADISON AVE
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6136
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Country | US
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Telephone | 973-971-6233
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Fax | 973-290-7393
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Provider Business Mailing Address
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Address Line | 171 TECHNOLOGY DR SUITE 200
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City | BOALSBURG
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State | PA
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Zip | 16827-1530
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Country | US
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Telephone | 814-237-8627
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Fax | 814-238-0083
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Authorized Official
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Title or Position | DIRECTOR
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Name | JAMES WONG
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Credential | MD
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Telephone | 973-971-6233
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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 |
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License Number State | NJ
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