# KEYSTONE CARDIOVASCULAR CENTER LLC

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

## Provider details

- **NPI number:** 1902299621
- **Authorized official:** DEMETRIOS PANAGIOTOU MD (FOUNDER)
- **Authorized official phone:** (201) 956-4886

## Contact information

- **Practice address:** 255 W SPRING VALLEY AVE STE 200, MAYWOOD, NJ 07607
- **Practice address phone:** (201) 882-6088
- **Mailing address:** PO BOX 40, PARAMUS, NJ 07653-0040
- **Mailing address phone:** (201) 882-6088
- **Mailing address fax:** (201) 447-3691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 25MA08814900 | NJ | Yes |

## Other

- **Enumeration date:** 03/05/2015
- **Last updated:** 01/24/2019
