31D0863855 CLIA NUMBER - CARDIOLOGY ONCOLOGY ASSOCIATES

Laboratory Demographics

CLIA Number: 31D0863855

Facility Name: CARDIOLOGY ONCOLOGY ASSOCIATES

Facility Address:
400 FRANKLIN TURNPIKE SUITE 102
MAHWAH, NJ
ZIP 07430
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Facility Phone Number: 201 934-5700

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1881865046

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name	Field Value
CLIA Number	31D0863855
LAB Type	Physician Office
Facility Name	CARDIOLOGY ONCOLOGY ASSOCIATES
Street	400 FRANKLIN TURNPIKE SUITE 102
City	MAHWAH
State	NJ
ZIP	07430
Phone	201 934-5700
CertificateType	2
CertificateEffectiveDate	2/17/2022
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024