Provider Demographics
NPI:1477899607
Name:HUDSON CARDIOTHORACIC SURGERY, LLC
Entity Type:Organization
Organization Name:HUDSON CARDIOTHORACIC SURGERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ZIAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HANHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-915-2525
Mailing Address - Street 1:4 BUCKS MILL LN
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1756
Mailing Address - Country:US
Mailing Address - Phone:908-686-3285
Mailing Address - Fax:908-686-1761
Practice Address - Street 1:4 BUCKS MILL LN
Practice Address - Street 2:
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1756
Practice Address - Country:US
Practice Address - Phone:908-686-3285
Practice Address - Fax:908-686-1761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-16
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty