Organization
COLUMBUS CARDIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLO PORCARO M.D. (MANAGING PARTNER)
(973) 338-3416
Entity
Organization
Contact information
Practice address
495 N 13TH ST, NEWARK, NJ 07107-1317
(973) 338-3416
(973) 338-3415
Mailing address
PO BOX 1038, BLOOMFIELD, NJ 07003-1038
(973) 338-3416
(973) 338-3415
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3428702
—
NJ
Enumeration date
02/19/2007
Last updated
08/22/2020
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