# IRPUS ELECTROPHYSIOLOGY LLC

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

## Provider details

- **NPI number:** 1780871285
- **Authorized official:** BART DE GREGORIO M.D. (SENIOR MEDICAL DIRECTOR)
- **Authorized official phone:** (974) 743-1121

## Contact information

- **Practice address:** 946 BLOOMFIELD AVE, GLEN RIDGE, NJ 07028-1304
- **Practice address phone:** (973) 743-1121
- **Practice address fax:** (973) 743-2627
- **Mailing address:** 946 BLOOMFIELD AVE, GLEN RIDGE, NJ 07028-1304
- **Mailing address phone:** (973) 743-1121
- **Mailing address fax:** (973) 743-2627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/28/2007
- **Last updated:** 09/28/2007