HEMATOLOGY-ONCOLOGY PROFESSIONAL OF WAYNE


Address: 8028 Brittany Dr, Wayne, NJ 07470-3297
Phone: 9737732039

HEMATOLOGY-ONCOLOGY PROFESSIONAL OF WAYNE (NPI# 1124257753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124257753
Entity Type Organization
Organization Name HEMATOLOGY-ONCOLOGY PROFESSIONAL OF WAYNE
Practice Address 8028 Brittany Dr
Wayne
NJ 07470-3297
Mailing Address Po Box 4237
Clifton
NJ 07012-4237
Practice Telephone 9737732039
Mailing Telephone 9737732039
Enumeration Date 2009-07-02
Last Update Date 2009-07-08
Authorized Official Name PEYMAN MAGHSOUDLOU (MANAGER)
Authorized Official Telephone 9737732039
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0000X Internal Medicine
Specialization: Hematology
Allopathic & Osteopathic Physicians

Office Location

Street Address 8028 BRITTANY DR
City WAYNE
State NJ
Zip Code 07470-3297

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Taxonomy Information

Taxonomy Code 207RH0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology

Taxonomy Definition

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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1912524125 Richard Dale Huhn Internal Medicine 42 Mile Dr, Chester, NJ 07930-2803 2020-07-03
1073660635 Marcus E Carr Jr. Internal Medicine 685 Highway Route 1, North Brunswick, NJ 08902 2007-01-05
1033222369 Ibrahim A Housri Internal Medicine 28 Tiffany Dr, East Hanover, NJ 07936-2516 2006-08-17
1689615478 Robert Raymond Siroty Internal Medicine 5 Overbrook Rd, Randolph, NJ 07869-4523 2006-06-10
1518963875 Yong Ji Internal Medicine 1865 Route 70 E Ste 220, Cherry Hill, NJ 08003-2005 2005-06-22
1528304524 Kamyar Nader Internal Medicine 2 Cooper Plz, 400 Haddon Ave, Camden, NJ 08103-1461 2012-12-19
1326286758 Eugene Smith Internal Medicine 270 Old Hook Rd, Westwood, NJ 07675-3117 2009-01-22
1639381858 Ghanshyam Lalla & Pushpa Lalla PC Internal Medicine 383 Northfield Ave, Suite 102, West Orange, NJ 07052-3024 2007-05-03
1457481483 Comprehensive Cancer Care LLC Internal Medicine 27 E 29th St, Bayonne, NJ 07002-4654 2007-03-07
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City WAYNE
Zip Code 07470

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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