| NPI | 1275098022 |
|---|---|
| Former Legal Business Name | NORTHERN NEW JERSEY CANCER ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | EDWARD J LICITRA Managing Partner 732-390-7750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |