Organization
CARDIOTHORACIC & VASCULAR ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMTIAZ AHMAD M.D. (PHYSICIAN)
60198900393
Entity
Organization
Contact information
Practice address
1760 WHITEHORSE HAMILTON SQUARE RD, TRENTON, NJ 08690-3535
(609) 890-2966
Mailing address
1760 WHITEHORSE HAMILTON SQUARE RD, TRENTON, NJ 08690-3535
(609) 890-2966
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MA027421
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020010075
RAIL ROAD MEDICARE
NJ
Enumeration date
05/20/2006
Last updated
10/18/2010
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