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Organization
GARDEN STATE CARDIO PULMONARY DIAGNOS
Active
Organization
GARDEN STATE CARDIO PULMONARY DIAGNOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KOSAR KAZMI RT (OWNER PRESIDENT)
(201) 592-0777
Entity
Organization
Contact information
Practice address
135 FORT LEE RD, SUITE # 201, LEONIA, NJ 07605-2247
(201) 592-0777
(201) 592-0078
Mailing address
135 FORT LEE RD, SUITE # 201, LEONIA, NJ 07605-2247
(201) 592-0777
(201) 592-0078
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
N/A IN NJ AND NY
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01994710
—
NY
05
—
7942605
—
NJ
Enumeration date
08/22/2006
Last updated
08/22/2020
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