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Sovereign Medical Group Llc
Radiation Oncology Physician in Hackensack, New Jersey
NPI 1669761110

Sovereign Medical Group Llc is a Radiation Oncology Physician based in Hackensack, NJ and is specialized in Radiation Oncology. Sovereign Medical Group Llc practices in Hackensack, NJ. The NPI Number for Sovereign Medical Group Llc is 1669761110 and holds a License No. (New Jersey).

The current practice location address for Sovereign Medical Group Llc is 20 Woodridge Ave, Hackensack, NJ and can be reached out via phone at 201-880-7580 and via fax at 201-880-7585.

Location: 20 Woodridge Ave, Hackensack, NJ, 07601-6013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669761110
Provider Name
Sovereign Medical Group Llc
Credential
Provider Entity Type
Organization
Address
20 Woodridge Ave, Hackensack, NJ, 07601-6013
Phone Number
201-880-7580
Fax Number
201-880-7585
Provider Enumeration Date
04/06/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0256277 05 NJ
institution
Provider Business Practice Location Address Details
Address
20 Woodridge Ave
City
Hackensack
State
New Jersey
Zip
07601-6013
Phone Number
201-880-7580
Fax Number
201-880-7585
person
Provider Business Mailing Address Details
Address
20 Woodridge Ave
City
Hackensack
State
New Jersey
Zip
07601-6013
Phone Number
201-880-7580
Fax Number
201-880-7585
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
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Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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