location
search-icon
person
Edward J Licitra, MD,PHD
Hematology & Oncology Physician in East Brunswick, New Jersey
NPI 1538139548

Edward J Licitra is a Hematology & Oncology Physician based in East Brunswick, NJ and is specialized in Hematology & Oncology. Edward J Licitra practices in East Brunswick, NJ and has the professional credentials of MD,PHD. The NPI Number for Edward J Licitra is 1538139548 and holds a License No. 25MA07301300 (New Jersey).

The current practice location address for Edward J Licitra is J2 Brier Hill Ct, East Brunswick, NJ and can be reached out via phone at 732-390-7750 and via fax at 732-390-7725.

Location: J2 Brier Hill Ct, East Brunswick, NJ, 08816-4096
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538139548
Provider Name
Edward J Licitra
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Male
Address
J2 Brier Hill Ct, East Brunswick, NJ, 08816-4096
Phone Number
732-390-7750
Fax Number
732-390-7725
Provider Enumeration Date
01/23/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0100650 05 NJ
1790396281 01 NJ TITAN HEALTH GROUP NPI#
institution
Provider Business Practice Location Address Details
Address
J2 Brier Hill Ct
City
East Brunswick
State
New Jersey
Zip
08816-3340
Phone Number
732-390-7750
Fax Number
732-390-7725
person
Provider Business Mailing Address Details
Address
J2 Brier Hill Ct
City
East Brunswick
State
New Jersey
Zip
08816-3340
Phone Number
732-390-7750
Fax Number
732-390-7725
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
25MA07301300 (New Jersey)
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 obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.