# RCCA MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RCCA MD LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205680048
- **Legal business name:** RCCA MD LLC
- **Authorized official:** TERRILL JORDAN (PRESIDENT/CEO)
- **Authorized official phone:** (201) 510-0910

## Contact information

- **Practice address:** 22616 GATEWAY CENTER DR STE C, CLARKSBURG, MD 20871-2011
- **Practice address phone:** (301) 685-6300
- **Mailing address:** 500 FRANK W BURR BLVD STE 560, TEANECK, NJ 07666-6804
- **Mailing address phone:** (201) 621-6931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2024
- **Last updated:** 04/21/2024