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Organization

ATLANTIC HEMATOLOGY ONCOLOGY GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAL HOLLANDER (PRACTICE ADMINISTRATOR)
(609) 652-6750
Entity
Organization

Contact information

Practice address
4 E JIMMIE LEEDS RD, SUITE 4, GALLOWAY, NJ 08205-4465
(609) 652-6750
(609) 652-2306
Mailing address
4 E JIMMIE LEEDS RD, SUITE 4, GALLOWAY, NJ 08205-4465
(609) 652-6750
(609) 652-2306

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
25MA05242500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000428946
HIGHMARK
NJ
01
0017190
AETNA
NJ
01
1045671
HORIZON NJ HEALTH
NJ
05
3403408
NJ
01
5003495
CAPITAL BCBS
NJ
01
P1969353
OXFORD
NJ
Enumeration date
03/05/2007
Last updated
02/16/2010
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