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Organization

CARDIOVASCULAR ASSOCIATES OF HUDSON COUNTY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACQUELINE M MAYES (DIRECTOR)
(201) 200-0318
Entity
Organization

Contact information

Practice address
377 JERSEY AVE STE 410, JERSEY CITY, NJ 07302-4397
(201) 200-0318
(201) 200-0319
Mailing address
PO BOX 446, JERSEY CITY, NJ 07303-0446
(201) 200-0318
(201) 200-0319

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
MA69555
NJ
305R00000X
Preferred Provider Organization
Primary
MA72103
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8973806
NJ
Enumeration date
04/12/2007
Last updated
11/06/2020
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