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Organization

CARDIOLOGY AND VASCULAR CONSULTANTS OF NEW JERSEY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KHALIL A KAID M.D (OWNER)
(347) 581-0834
Entity
Organization

Contact information

Practice address
2168 MILLBURN AVE, SUITE 204, MAPLEWOOD, NJ 07040-2640
(973) 762-3353
(973) 762-3370
Mailing address
2168 MILLBURN AVE, SUITE 204, MAPLEWOOD, NJ 07040-2640
(800) 243-5854
(206) 824-9510

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA08008500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0249327
NJ
01
DQ5886
RAILROAD MEDICARE
NJ
Enumeration date
03/11/2010
Last updated
04/02/2015
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