Organization
HEART HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIREN VANKAWALA MD (OWNER)
(609) 365-0730
Entity
Organization
Contact information
Practice address
54 W JIMMIE LEEDS RD, SUITE # 14, GALLOWAY, NJ 08205-9438
(609) 652-1868
(609) 423-1990
Mailing address
427 E BROOK LN, GALLOWAY, NJ 08205-2920
(609) 365-0730
(609) 423-1990
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
25MA07979800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010770
—
NJ
Enumeration date
07/07/2014
Last updated
07/10/2014
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