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NPI Profile for SOVEREIGN MEDICAL GROUP LLC in JERSEY CITY, NJ.
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Radiation Oncology |
2085R0001X | 92 | Physician/Radiation Oncology |
| NPI Number | 1114216660 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/06/2011 | |
| Last updated | 06/09/2011 - About 15 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SOVEREIGN MEDICAL GROUP LLC
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SOVEREIGN MEDICAL GROUP LLC