Organization
JERSEY HEART CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHMOOD ALAM (MEDICAL DIRECTOR)
(732) 636-6262
Entity
Organization
Contact information
Practice address
616 AMBOY AVE, WOODBRIDGE, NJ 07095-3164
(732) 636-6262
(732) 636-8313
Mailing address
616 AMBOY AVE, WOODBRIDGE, NJ 07095-3164
(732) 636-6262
(732) 636-8313
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA057458
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8648808
—
NJ
Enumeration date
07/15/2006
Last updated
11/02/2009
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