Organization
EASTON CARDIOVASCULAR ASSOC., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE A CRIVELLARO (ACCOUNT REPRESENTATIVE)
(610) 258-4337
Entity
Organization
Contact information
Practice address
123 ROSEBERRY ST, PHILLIPSBURG, NJ 08865-1629
(908) 213-3100
(908) 213-3103
Mailing address
2001 FAIRVIEW AVE, EASTON, PA 18042-3915
(610) 258-4337
(610) 258-8502
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3501205
—
NJ
01
—
CF6140
PALMOTTO RR NJ
NJ
Enumeration date
05/22/2007
Last updated
02/08/2008
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