Organization
GARDEN STATE CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA DWYER (BILLING)
(201) 689-0091
Entity
Organization
Contact information
Practice address
1124 E RIDGEWOOD AVE, SUITE 202, RIDGEWOOD, NJ 07450-3915
(201) 689-0091
(201) 689-9404
Mailing address
1 W RIDGEWOOD AVE, SUITE 103, PARAMUS, NJ 07652-2359
(201) 689-0091
(201) 689-9404
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA04851100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0529206
—
NJ
Enumeration date
01/26/2007
Last updated
08/22/2008
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