Organization
CROSS COUNTY CARDIOLOGY P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICK PUMILL MD (PARTNER)
(201) 941-8100
Entity
Organization
Contact information
Practice address
103 RIVER RD, EDGEWATER, NJ 07020-1010
(201) 941-8100
Mailing address
103 RIVER RD, EDGEWATER, NJ 07020-1010
(201) 941-8100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA05187300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074887000
AMERIHEALTH GROUP#
NJ
05
—
8079706
—
NJ
01
—
CI3339
RAILROAD MEDICARE GROUP #
NJ
Enumeration date
05/31/2006
Last updated
11/15/2019
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