Organization
ACADEMIC RADIATION ONCOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL L KORNMEHL M.D. (DIRECTOR)
(973) 365-5088
Entity
Organization
Contact information
Practice address
900 ROUTE 70 EAST, LAKEWOOD, NJ 08701-5940
(732) 901-7314
(732) 901-5704
Mailing address
900 ROUTE 70 EAST, SUITE 2A, LAKEWOOD, NJ 08701-5940
(732) 901-7314
(732) 901-5704
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
07/02/2006
Last updated
01/30/2009
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