# NORTH JERSEY THORACIC SURGICAL ASSOCIATES, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306994827
- **Authorized official:** MARK D WIDMANN MD (PRESIDENT)
- **Authorized official phone:** (973) 644-4844

## Contact information

- **Practice address:** 100 MADISON AVE FL 4, CAROL G. SIMON CANCER CENTER SUITE 4101, MORRISTOWN, NJ 07960-6136
- **Practice address phone:** (973) 644-4844
- **Practice address fax:** (973) 644-4776
- **Mailing address:** PO BOX 1348, MORRISTOWN, NJ 07962-1348
- **Mailing address phone:** (973) 644-4844
- **Mailing address fax:** (973) 644-4776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 03/13/2013