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Contact Information

CARDIAC, THORACIC AND VASCULAR SURGICAL ASSOCIATE, P.A.
123 HIGHLAND AVE
SUITE G2
GLEN RIDGE, NJ07028-1527
 Phone: 973-743-9900
 Fax: 973-743-3222
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CARDIAC THORACIC AND VASCULAR SURGICAL ASSOCIATE PA · (Female)

NPI Number 1174652077
Status Active
Credentials
Entity Individual
Enumeration date 03/05/2007
Last updated 07/06/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # MA37001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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