Provider Demographics
NPI:1043337470
Name:ANTITHROMBOTIC CENTER, LLC
Entity Type:Organization
Organization Name:ANTITHROMBOTIC CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADVANCED PRACTICE NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALISBURY
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:973-420-0986
Mailing Address - Street 1:4404 TUDOR DR
Mailing Address - Street 2:
Mailing Address - City:POMPTON PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07444-1133
Mailing Address - Country:US
Mailing Address - Phone:973-835-8575
Mailing Address - Fax:
Practice Address - Street 1:337 MARKET ST
Practice Address - Street 2:SUITE #2
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-5313
Practice Address - Country:US
Practice Address - Phone:973-835-8575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1299539363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty