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Organization

ADVANCED CARDIOLOGY, LLC

Active
Other names
Advanced Physical Therapy, Advanced Primary Care
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTINE NYSTRAND (MANAGER)
(973) 401-0101
Entity
Organization

Contact information

Practice address
65 RIDGEDALE AVE, CEDAR KNOLLS, NJ 07927-1313
(973) 401-1100
(973) 401-1201
Mailing address
65 RIDGEDALE AVE, CEDAR KNOLLS, NJ 07927-1313
(973) 401-1100
(973) 401-1201

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
Primary
207RI0011X
Interventional Cardiology Physician
225100000X
Physical Therapist
363LA2200X
Adult Health Nurse Practitioner

Other

Enumeration date
01/30/2007
Last updated
04/06/2022
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