Organization
HEMATOLOGY ONCOLOGY ASSOCIATES OF NORTH JERSEY, LLC
Active
Other names
Dr. Mohtaseb Cancer Center and Blood Disorders
Organization subpart
No
Provider details
NPI number
Authorized official
HAMDY A MOHTASEB MD (PRESIDENT / OWNER)
(928) 279-3838
Entity
Organization
Contact information
Practice address
5225 S HIGHWAY 95, SUITE 6, FORT MOHAVE, AZ 86426-9111
(928) 770-4560
(928) 770-4561
Mailing address
3900 STOCKTON HILL RD, SUITE B368, KINGMAN, AZ 86409-3029
(928) 681-1234
(928) 681-1811
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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