Organization
CARDIOVASCULAR ASSOCIATES, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHMUD BANGASH M,D, (PRESIDENT)
(201) 794-3256
Entity
Organization
Contact information
Practice address
10-14 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5728
(201) 794-3256
(201) 794-6457
Mailing address
10-14 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5728
(201) 794-3256
(201) 794-6457
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
024765
NJ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
024765
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2670909
—
NJ
Enumeration date
10/29/2008
Last updated
12/12/2008
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