Provider Demographics
NPI:1366751406
Name:CAPE MAY RADIATION ONCOLOGY ASSOCIATES LLC
Entity type:Organization
Organization Name:CAPE MAY RADIATION ONCOLOGY ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:DENITTIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-287-8741
Mailing Address - Street 1:5 SAINT JAMES GATE
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-3819
Mailing Address - Country:US
Mailing Address - Phone:856-287-8741
Mailing Address - Fax:484-476-3595
Practice Address - Street 1:2 STONE HARBOR BLVD
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-2138
Practice Address - Country:US
Practice Address - Phone:856-287-8741
Practice Address - Fax:484-476-3595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-06
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty