Organization
SOUTH JERSEY HEART GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURENDRA K BAGARIA MD (CO-OWNER)
(856) 589-0300
Entity
Organization
Contact information
Practice address
3001 CHAPEL AVE W, SUITE 101, CHERRY HILL, NJ 08002-1592
(856) 482-8900
(856) 482-7170
Mailing address
3001 CHAPEL AVE W, SUITE 101, CHERRY HILL, NJ 08002-1592
(856) 482-8900
(856) 482-7170
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MA46206
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
569007
AETNA
NJ
05
—
7042507
—
NJ
Enumeration date
08/18/2005
Last updated
10/27/2009
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