# MGH CARDIOVASCULAR ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MGH CARDIOVASCULAR ASSOCIATES LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669068128
- **Legal business name:** MGH CARDIOVASCULAR ASSOCIATES LLC
- **Authorized official:** MIRETTE HABIB MD (OWNER)
- **Authorized official phone:** (973) 653-5867

## Contact information

- **Practice address:** 680 BROADWAY STE 503, PATERSON, NJ 07514-1530
- **Practice address phone:** (973) 653-5867
- **Mailing address:** 680 BROADWAY STE 503, PATERSON, NJ 07514-1530
- **Mailing address phone:** (973) 653-5867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/17/2020
- **Last updated:** 12/17/2020
