Provider Demographics
NPI:1235125121
Name:ASSOCIATES IN CARDIOVASCULAR DISEASE LLC
Entity Type:Organization
Organization Name:ASSOCIATES IN CARDIOVASCULAR DISEASE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYEROWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-467-0005
Mailing Address - Street 1:PO BOX 48093
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07101-4892
Mailing Address - Country:US
Mailing Address - Phone:973-467-1869
Mailing Address - Fax:973-912-8989
Practice Address - Street 1:211 MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-2201
Practice Address - Country:US
Practice Address - Phone:973-467-0005
Practice Address - Fax:973-912-8989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty