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Organization

UROLOGY SPECIALTY CARE PA

Active
Parent organization
JERSEY CITY RADIATION THERAPY LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
JERSEY CITY RADIATION THERAPY LLC
Authorized official
DONALD VARDARO (ADMINISTRATIVE DIRECTOR)
(201) 880-7580
Entity
Organization

Contact information

Practice address
631 GRAND STREET, SUITE 1-1, JERSEY CITY, NJ 07304-3417
(201) 880-7580
(201) 880-7585
Mailing address
631 GRAND STREET, SUITE 1-1, JERSEY CITY, NJ 07304
(201) 880-7580
(201) 880-7585

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Enumeration date
05/10/2011
Last updated
06/02/2011
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