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Contact Information

ENGLEWOOD RADIATION ONCOLOGY, LLC
350 ENGLE ST
LLO
ENGLEWOOD, NJ07631-1808
 Phone: 201-894-3125
 Fax: 201-894-0152
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for ENGLEWOOD RADIATION ONCOLOGY, LLC

NPI Number 1497700405
LBN Legal business name ENGLEWOOD RADIATION ONCOLOGY, LLC
Authorized official DAVID DUBIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NJ License # 25MA05022800
NJ Medicaid 5159300
NJ Other 7303563 AETNA DR ZHANG
NJ Other 2737974 AETNA DR. DUBIN
NJ Other 7100293 AETNA GROUP
NJ Other BS525 OXFORD DR. DUBIN
NJ Other P3226618 OXFORD DR. ZHANG
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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