MEDICARE: TITAN HEALTH PARTNERS, LLC DBA ASTERA CANCER CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician
2	2085R0001X	Radiation Oncology Physician

General Provider Information

NPI Number	:	1013624139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TITAN HEALTH PARTNERS, LLC DBA ASTERA CANCER CARE

Provider Business Mailing Address
First Line	:	629 CRANBURY RD FL 2
Second Line	:
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816-4096
Country	:	US
Telephone Number	:	732-390-7750
Fax Number	:	732-390-7725

Provider Business Practice Location Address
First Line	:	215 EASTON AVE
Second Line	:
City	:	NEW BRUNSWICK
State	:	NJ
Zip	:	08901-1722
Country	:	US
Telephone Number	:	732-724-1739
Fax Number	:	609-395-7955

Authorized Official
Title or Position	:	CL VICE PRESIDENT, CHIEF ADMINISTRA
Name	:	EILEEN PENG
Credential	:
Telephone Number	:	732-390-7750

Provider Enumeration Date	:	10/28/2022
Last Update Date	:	01/30/2024

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