Organization
TRINITAS RADIATION ONCOLOGY ASSOC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A IVKER DO (RADIATION ONCOLOGIST)
(908) 994-8393
Entity
Organization
Contact information
Practice address
225 WILLIAMSON ST, RADIATION ONCOLOGY DEPT., ELIZABETH, NJ 07202-3625
(908) 994-8393
(908) 994-8725
Mailing address
PO BOX 659, MILLBURN, NJ 07041-0659
(973) 322-4212
(973) 322-4132
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
25MB06193300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6676308
—
NJ
Enumeration date
08/01/2007
Last updated
08/03/2007
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