Basic Information
Provider Information
NPI: 1982845608
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DING
FirstName: WILLIAM
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 DIAMOND HILL RD
Address2:  
City: BERKELEY HEIGHTS
State: NJ
PostalCode: 079222104
CountryCode: US
TelephoneNumber: 9082734300
FaxNumber:  
Practice Location
Address1: 1515 BROAD ST
Address2:  
City: BLOOMFIELD
State: NJ
PostalCode: 070033002
CountryCode: US
TelephoneNumber: 9738737000
FaxNumber: 9737438943
Other Information
ProviderEnumerationDate: 03/09/2009
LastUpdateDate: 03/07/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/07/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0001XMD445714PAN Allopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
2085R0001X25MA09788100NJY Allopathic & Osteopathic PhysiciansRadiologyRadiation Oncology

No ID Information.


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