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Organization

COLFAX ONCOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARDS AFONJA MD (OWNER)
(973) 594-7977
Entity
Organization

Contact information

Practice address
680 BROADWAY, PATERSON, NJ 07514-1422
(973) 594-7977
(877) 958-7233
Mailing address
PO BOX 857, CLIFTON, NJ 07015-0857
(973) 594-7977
(877) 958-7233

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MA06112700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0193810
NJ
01
31D1086344
CLIA NUMBER
NJ
Enumeration date
07/10/2009
Last updated
07/10/2009
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