Sparta Cancer Center Llc

LBN: Sparta Cancer Center Llc
Sparta Cancer Center Llc is an health care organization with primary practice located at 89 Sparta Ave , Sparta NJ 07871-1777. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as the primary health care specialty. Sparta Cancer Center Llc can be contacted via phone (973) 726-0005, or through Gallagher, Michael J. via phone (973) 726-0005.

Contact Information

Primary practice address
89 Sparta Ave Sparta NJ 07871-1777
Phone: (973) 726-0005
Fax: (973) 726-4668
Website:
Map and Directions
Authorized official contact:
Name: Gallagher, Michael J. Doctor of Medicine (MD)
Phone: (973) 726-0005

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X

Profile Details

NPI number 1649220690
LBN Legal business name Sparta Cancer Center Llc
DBA Doing business as
Authorized official Gallagher, Michael J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Feb 1st, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649220690 NPPES
New Jersey MEDICAID 0116441
New Jersey MEDICAID 02834664
New Jersey MEDICAID 101877562

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