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PROGRESSIVE RADIATION ONCOLOGY NPI 1568630903


NPI Information

NPI: 1568630903
Provider Name: PROGRESSIVE RADIATION ONCOLOGY
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
30 REHILL AVE
SOMERVILLE, NJ
ZIP 08876
Phone: (973) 322-4212
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PROGRESSIVE RADIATION ONCOLOGY is a radiation oncology radiology in Somerville, NJ. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. PROGRESSIVE RADIATION ONCOLOGY NPI is 1568630903. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30 REHILL AVE
SOMERVILLE, NJ
ZIP 08876-500
Phone: (973) 322-4212
Fax: (973) 322-4132

The provider's authorized official is Laura Bond .
The authorized official title is Radiation Oncologist and has the following contact phone number (973) 322-4212.

The enumeration date for this NPI number is 2/19/2008 and was last updated on 2/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation Oncology25MA06058800NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11407852726OTHERNEW JERSEYNPI, INDIVIDUAL
2F82784MEDICARE UPINNEW JERSEY
36199003MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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