Organization
PLAINS CARDIOPULMONARY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARLENE PREVOCKI (OFFICE ADMINISTRATOR)
(973) 616-1200
Entity
Organization
Contact information
Practice address
97 W PARKWAY, POMPTON PLAINS, NJ 07444-1647
(973) 616-1200
Mailing address
11I BROOKSIDE HTS, WANAQUE, NJ 07465-1622
(973) 616-1200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072056000
AMERIHEALTH
NJ
Enumeration date
03/28/2007
Last updated
08/14/2015
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