Organization
HEMATOLOGY ONCOLOGY ASSOCIATES OF NORTH JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMDY A. MOHTASEB MD (PRESIDENT)
(928) 681-1234
Entity
Organization
Contact information
Practice address
1225 HANCOCK RD, SUITE 204, BULLHEAD CITY, AZ 86442
(928) 219-4560
(928) 219-4561
Mailing address
3900 STOCKTON HILL ROAD, SUITE B368, KINGMAN, AZ 86409
(928) 681-1234
(928) 681-1811
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080714
—
AZ
Enumeration date
10/07/2020
Last updated
10/07/2020
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