Organization
NORTH JERSEY THORACIC SURGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D WIDMANN MD (PRESIDENT)
(973) 644-4844
Entity
Organization
Contact information
Practice address
100 MADISON AVE FL 4, CAROL G. SIMON CANCER CENTER SUITE 4101, MORRISTOWN, NJ 07960-6136
(973) 644-4844
(973) 644-4776
Mailing address
PO BOX 1348, MORRISTOWN, NJ 07962-1348
(973) 644-4844
(973) 644-4776
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7916122
AETNA GROUP ID
NJ
Enumeration date
01/08/2007
Last updated
03/13/2013
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