Provider Demographics
NPI:1235437534
Name:COMPREHENSIVE CARDIAC SERVICES OF NJ LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE CARDIAC SERVICES OF NJ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APOSTOLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:VOUDOURIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-566-6500
Mailing Address - Street 1:135 BLOOMFIELD AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-5902
Mailing Address - Country:US
Mailing Address - Phone:973-707-2916
Mailing Address - Fax:
Practice Address - Street 1:135 BLOOMFIELD AVE
Practice Address - Street 2:SUITE F
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-5902
Practice Address - Country:US
Practice Address - Phone:973-707-2916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-10
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty