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1538139548
EDWARD J LICITRA
EAST BRUNSWICK, NJ
NPI
1538139548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: NJ 25MA07301300)
Enumeration Date
2006-01-23
Last Update Date
2023-05-20
Business Address
EDWARD J LICITRA MD, PhD
J2 BRIER HILL CT
EAST BRUNSWICK, NJ 08816-3340
Phone number: 732-390-7750
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Mailing Address
EDWARD J LICITRA MD, PhD
629 CRANBURY RD FL 2
EAST BRUNSWICK, NJ 08816-4096
Phone number: 732-390-7750
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