Organization
NEW JERSEY ELECTROPHYSIOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN TOBIAS ROTHBART MD (OWNER)
(973) 926-8590
Entity
Organization
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112
(973) 926-8590
(973) 926-6758
Mailing address
201 LYONS AVE, NEWARK, NJ 07112
(973) 926-8590
(973) 926-6758
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MA35123
NJ
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
MA03512300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09385M4V
MEDICARE ID
NJ
05
—
8437807
—
NJ
Enumeration date
08/10/2007
Last updated
04/13/2012
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