Organization
REGIONAL CANCER CARE ASSOCIATES LLC
Active
Other names
Northern New Jersey Cancer Associates
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J LICITRA MD (MANAGING PARTNER)
(732) 390-7750
Entity
Organization
Contact information
Practice address
75 VERONICA AVE STE 201, SOMERSET, NJ 08873-5002
(732) 246-4882
(732) 249-5633
Mailing address
J2 BRIER HILL CT, EAST BRUNSWICK, NJ 08816-3340
(732) 390-7750
(732) 390-4628
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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