Provider Demographics
NPI:1346429321
Name:SEVA CARDIOTHORACIC & VASCULAR ASSOC. PA
Entity Type:Organization
Organization Name:SEVA CARDIOTHORACIC & VASCULAR ASSOC. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:A
Authorized Official - Last Name:SOLIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-739-5222
Mailing Address - Street 1:80 HAZLET AVE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-1600
Mailing Address - Country:US
Mailing Address - Phone:732-739-5222
Mailing Address - Fax:732-739-3983
Practice Address - Street 1:80 HAZLET AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1600
Practice Address - Country:US
Practice Address - Phone:732-739-5222
Practice Address - Fax:732-739-3983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03313800208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
S0142347Medicare UPIN
D96517Medicare PIN