Organization
GARDEN STATE CARDIO PULMONARY DIAGNOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KOSAR KAZMI RT (OWNER PRESIDENT)
(201) 592-0777
Entity
Organization
Contact information
Practice address
135 FORT LEE RD, SUITE # 201, LEONIA, NJ 07605-2247
(201) 592-0777
(201) 592-0078
Mailing address
135 FORT LEE RD, SUITE # 201, LEONIA, NJ 07605-2247
(201) 592-0777
(201) 592-0078
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
N/A IN NJ AND NY
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01994710
—
NY
05
—
7942605
—
NJ
Enumeration date
08/22/2006
Last updated
08/22/2020
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