| NPI | 1821362146 |
|---|---|
| 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 | 2012-03-05 |
| Last Update Date | 2017-05-18 |