Organization
VALLEY RADIATION ONCOLOGY ASSOC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WESSON M.D. (DIRECTOR)
(862) 666-9200
Entity
Organization
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 634-5403
(862) 666-9204
Mailing address
109 WANAQUE AVE, POMPTON LAKES, NJ 07442-2101
(862) 666-9200
(862) 666-9204
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5107202
—
NJ
Enumeration date
05/19/2006
Last updated
08/08/2014
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