Organization
SUBURBAN HEART GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL VITALE (PRESIDENT)
(908) 964-7333
Entity
Organization
Contact information
Practice address
2333 MORRIS AVE, SUITE D-1, UNION, NJ 07083-5714
(908) 964-7333
(908) 687-7855
Mailing address
2333 MORRIS AVE, SUITE D-1, UNION, NJ 07083-5714
(908) 964-7333
(908) 687-7855
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5017106
—
NJ
Enumeration date
01/16/2007
Last updated
08/22/2020
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