Organization
TITAN HEALTH PARTNERS LLC
Active
Other names
Astera Cancer Care
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J LICITRA MD, PHD (CEO/CHAIRMAN)
(732) 390-7750
Entity
Organization
Contact information
Practice address
75 VERONICA AVE, SUITE 201, SOMERSET, NJ 08873-5002
(732) 246-4882
(732) 249-5633
Mailing address
629 CRANBURY RD FL 2, EAST BRUNSWICK, NJ 08816-4096
(732) 390-7750
(732) 390-7725
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
5681750001
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265623169
GROUP NPI
NJ
01
—
295909
GROUP MEDICARE NUMBER
NJ
Enumeration date
08/06/2007
Last updated
01/30/2024
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