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Contact Information

ATLANTIC HEMATOLOGY ONCOLOGY GROUP
4 E JIMMIE LEEDS RD
SUITE 4
GALLOWAY, NJ08205-4465
 Phone: 609-652-6750
 Fax: 609-652-2306
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ATLANTIC HEMATOLOGY ONCOLOGY GROUP

NPI # 1851420707
LBN Legal business name ATLANTIC HEMATOLOGY ONCOLOGY GROUP
Authorized official MAL HOLLANDER - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/05/2007
Last updated 02/16/2010 - About 16 years ago
Identifiers
NJ License # 25MA05242500
NJ Medicaid 3403408
NJ Other 0017190 AETNA
NJ Other 5003495 CAPITAL BCBS
NJ Other 000428946 HIGHMARK
NJ Other 1045671 HORIZON NJ HEALTH
NJ Other P1969353 OXFORD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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