# RCCA MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467800367
- **Authorized official:** TERRILL JORDAN (PRESIDENT/CEO)
- **Authorized official phone:** (201) 510-0910

## Contact information

- **Practice address:** 18111 PRINCE PHILIP DR STE 327, OLNEY, MD 20832-1507
- **Practice address phone:** (301) 570-0136
- **Mailing address:** 500 FRANK W BURR BLVD, SUITE 560 MAILBOX 29, TEANECK, NJ 07666
- **Mailing address phone:** (201) 510-0900

## Taxonomy

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

## Other

- **Enumeration date:** 06/01/2016
- **Last updated:** 04/21/2024