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Organization
CARDIAC, THORACIC AND VASCULAR SURGICAL ASSOCIATE, P.A.
Active
Organization
CARDIAC, THORACIC AND VASCULAR SURGICAL ASSOCIATE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH N HOLWITT M.D. (CHIEF EXECUTIVE OFFICER)
(973) 743-9900
Entity
Organization
Contact information
Practice address
123 HIGHLAND AVE, SUITE G2, GLEN RIDGE, NJ 07028-1527
(973) 743-9900
(973) 743-3222
Mailing address
123 HIGHLAND AVE, SUITE G2, GLEN RIDGE, NJ 07028-1527
(973) 743-9900
(973) 743-3222
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MA37001
NJ
Other
Enumeration date
03/05/2007
Last updated
07/06/2010
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