Provider Demographics
NPI:1417119702
Name:COMPREHENSIVE HEM-ONC LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE HEM-ONC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOVENIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:CELO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-321-1100
Mailing Address - Street 1:908 OAK TREE AVE
Mailing Address - Street 2:STE I
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-5100
Mailing Address - Country:US
Mailing Address - Phone:732-321-1100
Mailing Address - Fax:
Practice Address - Street 1:908 OAK TREE AVE
Practice Address - Street 2:STE I
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-5100
Practice Address - Country:US
Practice Address - Phone:732-321-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty