Organization
CARDIAC TESTING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FARRY M.D. (PRESIDENT)
(908) 665-9500
Entity
Organization
Contact information
Practice address
29 SOUTH ST, NEW PROVIDENCE, NJ 07974-1940
(908) 665-9500
(908) 665-1811
Mailing address
PO BOX 23307, NEWARK, NJ 07189-0307
(908) 598-5200
(908) 273-6037
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110046434
RAILROAD MEDICARE
NJ
05
—
3251004
—
NJ
Enumeration date
06/15/2006
Last updated
04/25/2008
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