Provider Demographics
NPI:1962511147
Name:ONCOLOGY & HEMATOLOGY SPECIALISTS,P.A.
Entity Type:Organization
Organization Name:ONCOLOGY & HEMATOLOGY SPECIALISTS,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:FAZAL
Authorized Official - Middle Name:
Authorized Official - Last Name:BARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-316-1701
Mailing Address - Street 1:333 ROUTE 46 WEST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07046-1743
Mailing Address - Country:US
Mailing Address - Phone:973-316-1701
Mailing Address - Fax:973-316-1708
Practice Address - Street 1:333 ROUTE 46 W
Practice Address - Street 2:
Practice Address - City:MOUNTAIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07046-1743
Practice Address - Country:US
Practice Address - Phone:973-316-1701
Practice Address - Fax:973-316-1708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0434260001Medicare NSC