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Organization
CARDIOPULMONARY DIAGNOSTICS & REHAB
Active
Organization
CARDIOPULMONARY DIAGNOSTICS & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GOHAR AYUB (CREDENTIALING MANAGER)
(551) 300-2838
Entity
Organization
Contact information
Practice address
20 MEADOWLANDS PKWY, SECAUCUS, NJ 07094-2944
(201) 381-4800
(201) 552-2918
Mailing address
20 MEADOWLANDS PKWY, SECAUCUS, NJ 07094-2944
(201) 381-4800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NULL
Other
Enumeration date
11/16/2023
Last updated
10/08/2026
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