Organization
CARDIOTHORACIC SURGICAL GROUP OF NEW JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN KOLODZIEJ (DIRECTOR, FINANCE)
(609) 599-5320
Entity
Organization
Contact information
Practice address
601 HAMILTON AVE, TRENTON, NJ 08629-1915
(609) 599-5308
(609) 599-5701
Mailing address
601 HAMILTON AVE, TRENTON, NJ 08629-1915
(609) 599-5308
(609) 599-5701
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0663352000
KEYSTONE HEALTHPLAN
NJ
01
—
1150577
HORIZON NJ HEALTH
NJ
01
—
748336
INDEPENDENT BCBS
—
05
—
8308209
—
NJ
01
—
CH1667
RR MEDICARE
—
Enumeration date
09/16/2006
Last updated
02/21/2008
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