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Organization

HOLY NAME CARDIOLOGY ASSOCIATES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA BENIQUEZ PACHECO (CREDENTIALING SUPERVISOR)
(201) 833-3000
Entity
Organization

Contact information

Practice address
954 TEANECK ROAD, TEANECK, NJ 07666-4245
(201) 833-2300
(201) 833-7600
Mailing address
3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
(201) 833-3000

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA05680900
NJ
207RI0011X
Interventional Cardiology Physician
25MA08402000
NJ
207UN0901X
Nuclear Cardiology Physician
25MA08402000
NJ

Other

Enumeration date
11/27/2007
Last updated
02/22/2023
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