Organization
MYCARDIOVASCULAR CLINIC LLC
Active
Organization
MYCARDIOVASCULAR CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANKALP PATHAK MD (MANAGING MEMBER)
(973) 370-5259
Entity
Organization
Contact information
Practice address
337 BLOOMFIELD AVE, NEWARK, NJ 07107-2405
(973) 370-5259
(610) 638-0771
Mailing address
971 US HIGHWAY 202 N # 5135, BRANCHBURG, NJ 08876-3757
(973) 370-5259
(610) 638-0771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Enumeration date
09/05/2025
Last updated
08/05/2026
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