Organization
OLD PERTH CARDIOLOGY GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY CHIARAMIDA M.D. (PRESIDENT)
(201) 339-1700
Entity
Organization
Contact information
Practice address
280 AMBOY AVE, METUCHEN, NJ 08840-2426
(201) 339-1700
(201) 339-6972
Mailing address
PO BOX 79, BAYONNE, NJ 07002-0079
(201) 339-1700
(201) 339-6972
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA05442900
NJ
174400000X
Specialist
Primary
MA42221
NJ
Other
Enumeration date
02/05/2007
Last updated
08/10/2011
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