Organization
COLANTA HEMATOLOGY & ONCOLOGY CTR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROHIT GUPTA (BILLING MANAGER)
(732) 321-1100
Entity
Organization
Contact information
Practice address
564 BROADWAY, BAYONNE, NJ 07002-3825
(201) 823-0243
Mailing address
22 MERIDIAN RD UNIT 7, EDISON, NJ 08820-2848
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0086088
—
NJ
Enumeration date
03/07/2007
Last updated
08/22/2020
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