Organization
CHRIST HOSPITAL CARDIOLOGY ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PHUNG M.D. (PRESIDENT)
(201) 840-1160
Entity
Organization
Contact information
Practice address
176 PALISADE AVE, JERSEY CITY, NJ 07306-1121
(201) 840-1160
(201) 840-1170
Mailing address
PO BOX 2140, CLIFFSIDE PARK, NJ 07010-6140
(201) 840-1160
(201) 840-1170
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3171001
—
NH
Enumeration date
01/30/2007
Last updated
08/22/2020
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