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Organization
REGIONAL CANCER CARE ASSOCIATES LLC
Active
Organization
REGIONAL CANCER CARE ASSOCIATES LLC
Active
Other names
Northern New Jersey Cancer Associates
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J LICITRA MD (MANAGING PARTNER)
(732) 390-7750
Entity
Organization
Contact information
Practice address
75 VERONICA AVE STE 201, SOMERSET, NJ 08873-5002
(732) 246-4882
(732) 249-5633
Mailing address
J2 BRIER HILL CT, EAST BRUNSWICK, NJ 08816-3340
(732) 390-7750
(732) 390-4628
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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