# RCCA MD LLC

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

## Provider details

- **NPI number:** 1437903275
- **Legal business name:** RCCA MD LLC
- **Authorized official:** TERRILL JORDAN (PRESIDENT/CEO)
- **Authorized official phone:** (201) 510-0910

## Contact information

- **Practice address:** 5530 WISCONSIN AVE STE 1640, CHEVY CHASE, MD 20815-4305
- **Practice address phone:** (301) 657-4588
- **Mailing address:** 500 FRANK W BURR BLVD, SUITE 560 MAILBOX 29, TEANECK, NJ 07666
- **Mailing address phone:** (201) 510-0910

## 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
