Organization
ADVANCED CARDIOVASCULAR CARE OF HUDSON VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID B SOUTHREN MD (PRESIDENT)
(845) 268-0880
Entity
Organization
Contact information
Practice address
220 LIVINGSTON ST, NORTHVALE, NJ 07647-1738
(201) 710-5955
(201) 710-5955
Mailing address
206 ROUTE 303, VALLEY COTTAGE, NY 10989-2019
(845) 268-0880
(845) 268-0882
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA05521000
NJ
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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