Organization
RCCA MD LLC
Active
Parent organization
RCCA MD LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RCCA MD LLC
Authorized official
TERRILL JORDAN (PRESIDENT/CEO)
(201) 510-0910
Entity
Organization
Contact information
Practice address
22616 GATEWAY CENTER DR STE C, CLARKSBURG, MD 20871-2011
(301) 685-6300
Mailing address
500 FRANK W BURR BLVD STE 560, TEANECK, NJ 07666-6804
(201) 621-6931
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/21/2024
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