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Organization

REGIONAL CANCER CARE ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRILL JORDAN (PRESIDENT)
(201) 510-0910
Entity
Organization

Contact information

Practice address
100 HAYNES ST, 2ND FLOOR, MANCHESTER, CT 06040-4113
(860) 533-3091
Mailing address
500 FRANK W. BURR BOULEVARD, SUITE 560- MAILBOX #29, TEANECK, NJ 07666
(015) 100-9102

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
207RX0202X
Medical Oncology Physician
Primary

Other

Enumeration date
09/21/2016
Last updated
03/27/2024
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