Organization
REGIONAL CANCER CARE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRILL JORDAN (PRESIDENT)
(201) 510-0910
Entity
Organization
Contact information
Practice address
180 WHITE RD STE 106, LITTLE SILVER, NJ 07739-1166
(732) 889-8420
Mailing address
500 FRANK W BURR BLVD STE 560, TEANECK, NJ 07666-6804
(844) 301-4158
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
—
—
207ZI0100X
Immunopathology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
04/21/2024
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