Organization
JACK EBANI MD IMRT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK E EBANI MD (PRESIDENT)
(732) 774-4551
Entity
Organization
Contact information
Practice address
900 RT 70 EAST, LAKEWOOD, NJ 08701-5940
(732) 901-7314
(732) 901-5704
Mailing address
50 OLD FARM RD, OAKHURST, NJ 07755-1660
(732) 774-4551
(732) 774-8933
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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