Organization
HACKENSACK RADIATION THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD VARDARO (ADMINISTRATIVE DIRECTOR)
(201) 880-7580
Entity
Organization
Contact information
Practice address
20 WOODRIDGE AVE, HACKENSACK, NJ 07601-6013
(201) 880-7580
(201) 880-7585
Mailing address
20 WOODRIDGE AVENUE, HACKENSACK, NJ 07410-6013
(201) 880-7580
(201) 880-7585
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
0400320983
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0256277
—
NJ
Enumeration date
01/07/2011
Last updated
05/06/2011
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