Sovereign Medical Group LLC
NPI #1669761110 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1669761110
- Entity Type
- Organization
- Organization Name
- Sovereign Medical Group LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SOVEREIGN MEDICAL GROUP LLC
- Primary Specialty
- Radiology - Radiation Oncology
- Enumeration Date
- Apr 6, 2011
- Last Updated
- Jun 9, 2011
Practice Location
- Address
- 20 WOODRIDGE AVE
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-6013
- Phone
- (201) 880-7580
Authorized Official
- Name
- DONALD F VARDARO
- Title
- ADMINISTRATIVE DIRECTOR
- Phone
- (201) 880-7580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Radiation Oncology — Radiation Oncology |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| DR. Nicholas J. Denunzio, M.D., PH.D. |  AI Deep Dive |
| DR. Brett Eric Lewis, M.D. | AI Deep Dive |
| DR. Loren Godfrey, MD | AI Deep Dive |
| DR. Glen Gejerman, MD | AI Deep Dive |
Organizations
| Provider Name | |
|---|---|
| Urology Specialty Care PA Part of Hackensack Radiation Therapy LLC | AI Deep Dive |
Want to research this healthcare provider further?