Organization Name: | ONCOLOGY ASSOCIATES OF NORTH JERSEY LIMITED LIABILITY COMPANY |
NPI Number: | 1679893861 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IMTIAZ AHMED PATEL (DOCTOR) |
Mailing Address: | 361 Franklin Ave Nutley |
State: | NJ US |
Postal Code: | 071101664 |
Phone Number: | 5165281388 |
Fax Number: | 9736673002 |
NPI Enumeration Date: | 06/10/2010 |
NPI Last Update Date: | 06/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 25MA08749900 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |