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
1200 US HIGHWAY 22EAST, FL 3, BRIDGEWATER, NJ 08807
(732) 390-7750
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6682390018
MEDICARE NSC DMERC PTAN
NJ
01
—
7892570002
NSC DMERT PTAN
NJ
Enumeration date
02/19/2013
Last updated
01/30/2024
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