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Organization
CMC DEPARTMENT OF MEDICINE GROUP PA
Active
Organization
CMC DEPARTMENT OF MEDICINE GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MCMULLEN (EVP MANAGED CARE)
(856) 342-2921
Entity
Organization
Contact information
Practice address
1000 SALEM RD, SUITE C, WILLINGBORO, NJ 08046-2852
(609) 877-1001
(609) 877-0992
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 342-2921
(856) 968-8499
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2206175000
HEMA ONCOLOGY GRP#
NJ
Enumeration date
03/12/2007
Last updated
07/01/2008
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