Organization
ESSEX RADIATION ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH R BLANK MD (RADIATION ONCOLOGIST)
(973) 450-2270
Entity
Organization
Contact information
Practice address
1 CLARA MAASS DRIVE, BELLEVILLE, NJ 07109
(973) 450-2270
(973) 844-4904
Mailing address
PO BOX 659, MILLBURN, NJ 07041
(973) 322-4212
(973) 322-4132
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
25MA06871100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7930500
—
NJ
Enumeration date
01/23/2007
Last updated
08/22/2020
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