# HEMATOLOGY ONCOLOGY ASSOCIATES OF NORTH JERSEY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr. Mohtaseb Cancer Center and Blood Disorders
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881078889
- **Authorized official:** HAMDY A MOHTASEB MD (PRESIDENT / OWNER)
- **Authorized official phone:** (928) 279-3838

## Contact information

- **Practice address:** 5225 S HIGHWAY 95, SUITE 6, FORT MOHAVE, AZ 86426-9111
- **Practice address phone:** (928) 770-4560
- **Practice address fax:** (928) 770-4561
- **Mailing address:** 3900 STOCKTON HILL RD, SUITE B368, KINGMAN, AZ 86409-3029
- **Mailing address phone:** (928) 681-1234
- **Mailing address fax:** (928) 681-1811

## Taxonomy

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

## Other

- **Enumeration date:** 07/20/2015
- **Last updated:** 07/20/2015