Provider Demographics
NPI:1558994566
Name:COMPREHENSIVE CARDIOVASCULAR CONSULTANTS OF NJ
Entity Type:Organization
Organization Name:COMPREHENSIVE CARDIOVASCULAR CONSULTANTS OF NJ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANJUM
Authorized Official - Middle Name:
Authorized Official - Last Name:TANWIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-623-3749
Mailing Address - Street 1:1620 US HIGHWAY 22E, SUITE 102
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-3414
Mailing Address - Country:US
Mailing Address - Phone:908-451-3544
Mailing Address - Fax:201-244-3289
Practice Address - Street 1:1620 US HIGHWAY 22E, SUITE 102
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-3414
Practice Address - Country:US
Practice Address - Phone:908-451-3544
Practice Address - Fax:201-244-3289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-18
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty