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Organization
RCCA MD LLC
Active
Organization
RCCA MD LLC
Active
Parent organization
RCCA MD LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RCCA MD LLC
Authorized official
TERRILL JORDAN (PRESIDENT/CEO)
(201) 510-0910
Entity
Organization
Contact information
Practice address
22616 GATEWAY CENTER DR STE C, CLARKSBURG, MD 20871-2011
(301) 685-6300
Mailing address
500 FRANK W BURR BLVD STE 560, TEANECK, NJ 07666-6804
(201) 621-6931
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/21/2024
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