Provider Demographics
NPI:1558506584
Name:LOVING CARE ONCOLOGY LLC
Entity Type:Organization
Organization Name:LOVING CARE ONCOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:INDU
Authorized Official - Middle Name:
Authorized Official - Last Name:SABNANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-762-7676
Mailing Address - Street 1:2130 MILLBURN AVE
Mailing Address - Street 2:SUITE C11
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-3725
Mailing Address - Country:US
Mailing Address - Phone:973-762-7676
Mailing Address - Fax:
Practice Address - Street 1:2130 MILLBURN AVE
Practice Address - Street 2:SUITE C11
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-3725
Practice Address - Country:US
Practice Address - Phone:973-762-7676
Practice Address - Fax:973-762-7677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-04
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA049357207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJE55083Medicare UPIN