Provider Demographics
NPI:1952356198
Name:CANCER SPECIALISTS OF NEW JERSEY PA
Entity Type:Organization
Organization Name:CANCER SPECIALISTS OF NEW JERSEY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BHAVESH
Authorized Official - Middle Name:VASANT
Authorized Official - Last Name:BALAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-683-0900
Mailing Address - Street 1:509 STILLWELLS CORNER RD
Mailing Address - Street 2:SUITE E-8
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2965
Mailing Address - Country:US
Mailing Address - Phone:732-683-0900
Mailing Address - Fax:732-683-0909
Practice Address - Street 1:509 STILLWELLS CORNER RD
Practice Address - Street 2:SUITE E-8
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2965
Practice Address - Country:US
Practice Address - Phone:732-683-0900
Practice Address - Fax:732-683-0909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07783700207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty