Organization
COMMUNITY CANCER CARE OF BAYONNE
Active
Other names
Community Cancer Care of Bayonne
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYNDA CANO (EXECUTIVE SECRETARY)
(201) 443-4080
Entity
Organization
Contact information
Practice address
564 BROADWAY, SUITE 102, BAYONNE, NJ 07002-8828
(201) 443-4080
Mailing address
PO BOX 3395, BAYONNE, NJ 07002-0287
(201) 443-4080
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA02830300
NJ
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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