Organization
JERSEY CITY RADIATION THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD VARDARO (ADMINISTRATIVE DIRECTOR)
(201) 791-4544
Entity
Organization
Contact information
Practice address
631 GRAND STREET, SUITE 1-1, JERSEY CITY, NJ 07304
(201) 791-4544
(201) 794-6970
Mailing address
631 GRAND STREET, SUITE 1-1, JERSEY CITY, NJ 07304
(201) 791-4544
(201) 794-6970
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
0400329589
NJ
Other
Enumeration date
03/07/2011
Last updated
04/21/2011
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