Organization
GARDEN STATE ONCOLOGY,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAILJA ROY MD (PHYSICIAN)
(908) 731-2583
Entity
Organization
Contact information
Practice address
2 ETHEL RD, SUITE 206 B, EDISON, NJ 08817-2839
(908) 731-2583
Mailing address
6 ALTON WAY, SCOTCH PLAINS, NJ 07076-2858
(908) 731-2583
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
25MA08203700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA08203700
STATE LISENCE
NJ
Enumeration date
06/01/2008
Last updated
06/01/2008
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