Organization
CARDIOLOGY PROFESSIONAL SERVICES AT RARITAN BAY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LEE NIEMIERA MD (OWNER)
(732) 442-1441
Entity
Organization
Contact information
Practice address
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861
(732) 324-5167
Mailing address
PO BOX 447, PERTH AMBOY, NJ 08861
(732) 290-0100
(732) 583-0607
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6945503
—
NJ
Enumeration date
08/18/2006
Last updated
08/22/2020
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