Organization
MEDICOR CARDIOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY ELLISON-MILLER (BILLING MANAGER)
(908) 243-5004
Entity
Organization
Contact information
Practice address
225 JACKSON ST, BRIDGEWATER, NJ 08807-3060
(908) 526-8668
(908) 231-6781
Mailing address
225 JACKSON ST, BRIDGEWATER, NJ 08807-3060
(908) 526-8668
(908) 231-6781
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2935902
—
NJ
Enumeration date
12/05/2006
Last updated
05/21/2008
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