SOVEREIGN MEDICAL GROUP LLC is a radiation oncology radiology in Hackensack, NJ. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. SOVEREIGN MEDICAL GROUP LLC NPI is 1669761110. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Hackensack Radiation Therapy Llc.
The provider's business location address is:
20 WOODRIDGE AVE
HACKENSACK, NJ
ZIP 07601-013
Phone: (201) 880-7580
Fax: (201) 880-7585
The provider's authorized official is Donald F Vardaro .
The authorized official title is Administrative Director and has the following contact phone number (201) 880-7580.
The CLIA number assigned to this NPI record is 31D2224194 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 4/6/2011 and was last updated on 6/9/2011.