Provider Demographics
NPI:1346261179
Name:HEMATOLOGY ONCOLOGY ASSOCIATES, SJ, PA
Entity type:Organization
Organization Name:HEMATOLOGY ONCOLOGY ASSOCIATES, SJ, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOSSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-702-1900
Mailing Address - Street 1:175 MADISON AVENUE
Mailing Address - Street 2:4TH FLOOR STOKES BUILDING
Mailing Address - City:MT. HOLLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08060
Mailing Address - Country:US
Mailing Address - Phone:609-702-1900
Mailing Address - Fax:609-702-8455
Practice Address - Street 1:175 MADISON AVE
Practice Address - Street 2:4TH FLOOR STOKES BLDG
Practice Address - City:MT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060
Practice Address - Country:US
Practice Address - Phone:609-702-1900
Practice Address - Fax:609-702-8455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4527003Medicaid
CI0289OtherRAILROAD MEDICARE
J014918OtherCHAMPUS
HE660750Medicare ID - Type Unspecified
NJ4527003Medicaid