Provider Demographics
NPI:1922006113
Name:THE CENTER FOR CANCER AND HEMATOLOGIC DISEASE
Entity Type:Organization
Organization Name:THE CENTER FOR CANCER AND HEMATOLOGIC DISEASE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-424-3311
Mailing Address - Street 1:1930 ROUTE 70 E
Mailing Address - Street 2:SUITE V107
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2150
Mailing Address - Country:US
Mailing Address - Phone:856-424-3311
Mailing Address - Fax:856-424-5634
Practice Address - Street 1:1930 ROUTE 70 E
Practice Address - Street 2:SUITE V107
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2150
Practice Address - Country:US
Practice Address - Phone:856-424-3311
Practice Address - Fax:856-424-5634
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE CENTER FOR CANCER AND HEMATOLOGIC DISEASE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-12
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ146176Medicare PIN