Organization
NORTH JERSEY CARDIOVASCULAR CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILY MAHDI (OFFICE ADMINISTRATOR)
(973) 748-3800
Entity
Organization
Contact information
Practice address
329 BELLEVILLE AVE, BLOOMFIELD, NJ 07003-3600
(973) 748-3800
Mailing address
329 BELLEVILLE AVE, BLOOMFIELD, NJ 07003-3600
(973) 748-3800
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0935184
AETNA
NJ
05
—
6172504
—
NJ
01
—
CF9311
RR MEDICARE
NJ
Enumeration date
03/05/2007
Last updated
06/03/2011
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