Provider Demographics
NPI:1558768523
Name:HALEDON CARDIOLOGY GROUP
Entity Type:Organization
Organization Name:HALEDON CARDIOLOGY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:NIZAR
Authorized Official - Last Name:KAHF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-941-9600
Mailing Address - Street 1:401 HALEDON AVE
Mailing Address - Street 2:
Mailing Address - City:HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-1570
Mailing Address - Country:US
Mailing Address - Phone:973-942-3767
Mailing Address - Fax:
Practice Address - Street 1:401 HALEDON AVE
Practice Address - Street 2:
Practice Address - City:HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-1570
Practice Address - Country:US
Practice Address - Phone:973-942-3767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-19
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04477400207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty