Provider Demographics
NPI:1326211038
Name:CARDIAC DIAGNOSTIC SERVICES INC.
Entity Type:Organization
Organization Name:CARDIAC DIAGNOSTIC SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:
Authorized Official - Last Name:HANFLING
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:732-888-0223
Mailing Address - Street 1:13 VILLAGE CT
Mailing Address - Street 2:
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-1531
Mailing Address - Country:US
Mailing Address - Phone:732-888-0223
Mailing Address - Fax:732-888-0714
Practice Address - Street 1:13 VILLAGE CT
Practice Address - Street 2:
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1531
Practice Address - Country:US
Practice Address - Phone:732-888-0223
Practice Address - Fax:732-888-0714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-03
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB41000207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty