Organization
ST. MARY CARDIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAGADISH DAMLE MD (PRESIDENT)
(201) 840-1160
Entity
Organization
Contact information
Practice address
308 WILLOW AVE, HOBOKEN, NJ 07030-3808
(201) 840-1160
(201) 840-1170
Mailing address
PO BOX 2140, CLIFFSIDE PARK, NJ 07010-6140
(201) 840-1160
(201) 840-1170
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3414302
—
NJ
01
—
CC0223
PALMETTO RAILROAD MEDICAR
NJ
Enumeration date
01/30/2007
Last updated
05/16/2008
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