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Organization

INTERVENTIONAL CARDIOVASCULAR ASSOCIATES GROUP, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROGER HOWARD COLETTI M.D. (PRESIDENT)
(201) 996-1444
Entity
Organization

Contact information

Practice address
20 PROSPECT AVE, HACKENSACK, NJ 07601-1997
(201) 996-1444
(201) 646-9531
Mailing address
20 PROSPECT AVE, HACKENSACK, NJ 07601-1997
(201) 996-1444
(201) 646-9531

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA06656300
NJ

Other

Enumeration date
04/23/2008
Last updated
04/23/2008
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