Edward J Licitra in East Brunswick - Hematology & Oncology
Edward J Licitra - NPI 1538139548
Edward J Licitra is a Hematology & Oncology in East Brunswick, New Jersey. Edward J Licitra practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Edward J Licitra is 1538139548. The last update date is 2023-05-20.
Edward J Licitra's current location address is 629 Cranbury Rd Fl 2, East Brunswick, New Jersey. You can contact this provider via phone number 7323907750 and fax number 7323907725. The mailing address for Edward J Licitra is 629 Cranbury Rd Fl 2, East Brunswick, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward J Licitra |
|---|---|
| Address | 629 Cranbury Rd Fl 2, East Brunswick, New Jersey |
| Phone Number | 7323907750 |
| Fax Number | 7323907725 |
| Sole Proprietor | N |
| Credentials | MD, PHD |
NPI Number Detail
| NPI Number | 1538139548 |
|---|---|
| Provider Enumeration Date | 2006-01-23 |
| Last Updated Date | 2023-05-20 |
Provider Mailing Address Detail
| Address | 629 Cranbury Rd Fl 2 |
|---|---|
| City | East Brunswick |
| State | New Jersey (NJ) |
| Post Code | 88164096 |
| Phone Number | 7323907750 |
| Fax Number | 7323907725 |
Provider's Primary Taxonomy Detail
| Speciality | Hematology & Oncology |
|---|---|
| Taxonomy | 207Rh0003X |
| Licence No | 25MA07301300 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100650 | NJ | -- | |
| 1790396281 | NJ | TITAN HEALTH GROUP NPI# |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Edward J Licitra by the Centers for Medicare & Medicaid Services?
The Edward J Licitra has been issued the NPI (National Provider Identifier) 1538139548, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Edward J Licitra is geographically located?
The Edward J Licitra is physically situated at the following location: 629 Cranbury Rd Fl 2, East Brunswick, NJ, 88164096.
What is the area of specialization for Edward J Licitra, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Edward J Licitra is Hematology & Oncology, and the corresponding taxonomy code that categorizes this area of expertise is 207Rh0003X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1538139548 to Edward J Licitra?
The Centers for Medicare & Medicaid Services originally issued the 1538139548 to Edward J Licitra on 2006-01-23.
When was the information related to Edward J Licitra most recently updated or refreshed?
The details pertaining to the Edward J Licitra, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-05-20.