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Organization
RCCA MD LLC
Active
Organization
RCCA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRILL JORDAN (PRESIDENT/CEO)
(201) 510-0910
Entity
Organization
Contact information
Practice address
18111 PRINCE PHILIP DR STE 327, OLNEY, MD 20832-1507
(301) 570-0136
Mailing address
500 FRANK W BURR BLVD, SUITE 560 MAILBOX 29, TEANECK, NJ 07666
(201) 510-0900
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
06/01/2016
Last updated
04/21/2024
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