Organization
SOUTHERN ONCOLOGY HEMATOLOGY ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KUSH SACHDEVA MD (PRESIDENT)
(856) 696-9550
Entity
Organization
Contact information
Practice address
1505 W SHERMAN AVE, SUITE 101, VINELAND, NJ 08360-6912
(856) 696-9550
(856) 696-4932
Mailing address
1505 W. SHERMAN AVENUE, SUITE 101, VINELAND, NJ 08360-5838
(856) 696-9550
(856) 696-4932
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090340000
KEYSTONE
NJ
01
—
1028961
MERCY HEALTH PLAN
NJ
01
—
181780
MEDICARE
—
05
—
25877503
—
NJ
01
—
34836
US HEALTHCARE
NJ
01
—
83520001
TRAVELERS
NJ
01
—
873520001
HEALTHNOW
NJ
01
—
90000556000
AMERICHOICE
NJ
Enumeration date
10/31/2005
Last updated
11/05/2015
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