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Contact Information

DIAGNOSTIC & CLINICAL CARDIOLOGY, PA
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ07052-2724
 Phone: 973-731-9442
 Fax: 973-731-2918
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for DIAGNOSTIC & CLINICAL CARDIOLOGY, PA

NPI Number 1760481493
LBN Legal business name DIAGNOSTIC & CLINICAL CARDIOLOGY, PA
Authorized official MARK BROWN - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2005
Last updated 07/21/2022 - About 4 years ago
Identifiers
NJ Medicaid 3001806
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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