Organization
EAST COAST RADIATION ONCOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL F WEISS MD (CHAIRMAN)
(732) 923-6890
Entity
Organization
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 923-6890
Mailing address
1020A E BOAL AVE, BOALSBURG, PA 16827-1509
(814) 237-8627
(814) 238-0083
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0588943
AETNA
NJ
01
—
0694687000
AMERIHEALTH
NJ
01
—
1083561
HORIZON NJ HEALTH
NJ
05
—
7412703
—
NJ
01
—
9675988
GHI
NJ
Enumeration date
05/26/2006
Last updated
07/21/2022
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