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Organization

PROGRESSIVE RADIATION ONCOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA BOND MD (RADIATION ONCOLOGIST)
(973) 322-4212
Entity
Organization

Contact information

Practice address
30 REHILL AVE, SOMERVILLE, NJ 08876-2500
(973) 322-4212
(973) 322-4132
Mailing address
PO BOX 659, MILLBURN, NJ 07041-0659
(973) 322-4212
(973) 322-4132

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
25MA06058800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1407852726
NPI, INDIVIDUAL
NJ
05
6199003
NJ
Enumeration date
02/19/2008
Last updated
02/19/2008
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