Organization
CARDIOLOGY CENTER OF NEW JERSY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO A CRISCITO (OWNER)
(973) 450-2158
Entity
Organization
Contact information
Practice address
50 NEWARK AVE STE 204, BELLEVILLE, NJ 07109-1193
(973) 450-2158
(973) 450-2027
Mailing address
32 CHELSEA DR, LIVINGSTON, NJ 07039-3420
(973) 429-8363
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA02510600
NJ
Other
Enumeration date
09/18/2007
Last updated
06/17/2009
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