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Organization

SPARTA CANCER CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELSIE J WARD (ADMIN. ASSISTANT/CREDENTIALIST)
(570) 504-7210
Entity
Organization

Contact information

Practice address
89 SPARTA AVE, SPARTA, NJ 07871-1777
(973) 729-7001
(973) 729-0256
Mailing address
1110 MEADE ST, DUNMORE, PA 18512-3169
(570) 504-7210
(570) 955-2213

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0116441
NJ
05
02834664
NY
05
101877562
PA
Enumeration date
05/11/2006
Last updated
07/15/2026
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