Organization
NORTH JERSEY HEART,, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EBRAHIM S ISSA M.D. (CARDIOLOGY)
(201) 907-0995
Entity
Organization
Contact information
Practice address
800 GRANGE RD, TEANECK, NJ 07666-4420
(201) 907-0995
(201) 907-0996
Mailing address
800 GRANGE RD, TEANECK, NJ 07666-4420
(201) 907-0995
(201) 907-0996
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07180900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8536708
—
NJ
Enumeration date
07/07/2006
Last updated
09/04/2007
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