Organization
COMPREHENSIVE CARDIOVASCULAR CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAYEZ SHAMOON MD (OWNER)
(973) 877-5160
Entity
Organization
Contact information
Practice address
268 DR MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07102
(973) 877-5160
(973) 877-5124
Mailing address
22-36 RADBURN RD, FAIR LAWN, NJ 07410-4524
(973) 877-5160
(973) 877-5124
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MO55516
NJ
Other
Enumeration date
07/09/2006
Last updated
08/22/2020
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