| NPI | 1508319039 |
|---|---|
| Former Legal Business Name | NORTHERN NEW JERSEY CANCER ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | EDWARD J LICITRA Chairman 732-390-7750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-12-12 |