Organization
DIAGNOSTIC & CLINICAL CARDIOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BROWN (ADMINISTRATOR)
(973) 731-9442
Entity
Organization
Contact information
Practice address
375 MOUNT PLEASANT AVE, WEST ORANGE, NJ 07052-2724
(973) 731-9442
(973) 731-2918
Mailing address
375 MOUNT PLEASANT AVE, WEST ORANGE, NJ 07052-2724
(973) 731-9442
(973) 731-2918
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
NJ
207RI0011X
Interventional Cardiology Physician
—
NJ
207UN0901X
Nuclear Cardiology Physician
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3001806
—
NJ
Enumeration date
07/15/2005
Last updated
07/21/2022
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