Organization
ATLANTIC REGIONAL CANCER CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY K GANDHI MD (PRESIDENT)
(609) 465-3995
Entity
Organization
Contact information
Practice address
4 E JIMMIE LEEDS RD, SUITE 4, GALLOWAY, NJ 08205-4465
(609) 465-7906
Mailing address
4 E JIMMIE LEEDS RD, SUITE 4, GALLOWAY, NJ 08205-4465
(609) 465-7906
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
25MA04454500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1264800
—
NJ
Enumeration date
06/23/2011
Last updated
06/23/2011
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