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Organization

ELECTROPHYSIOLOGY ASSOCIATES OF NORTHERN NEW JERSEY PA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN M ZIMMERMAN M.D. (DELEGATED OFFICIAL)
(201) 996-2997
Entity
Organization

Contact information

Practice address
20 PROSPECT AVE, SUITE 701, HACKENSACK, NJ 07601-1997
(201) 996-2997
(201) 996-2571
Mailing address
20 PROSPECT AVE, SUITE 701, HACKENSACK, NJ 07601-1997
(201) 996-2997
(201) 996-2571

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA05047300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3108580
AETNA HMO GROUP #
NJ
01
5792488
AETNA PPO GROUP #
NJ
01
CJ2835
RAILROAD MEDICARE GROUP #
NJ
Enumeration date
03/13/2007
Last updated
07/02/2008
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