Provider Demographics
NPI:1619334752
Name:CARDIO CARE PHYSICIANS, LLC
Entity Type:Organization
Organization Name:CARDIO CARE PHYSICIANS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALFARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-683-9304
Mailing Address - Street 1:167 STONE HILL RD
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-1726
Mailing Address - Country:US
Mailing Address - Phone:732-683-9305
Mailing Address - Fax:732-683-9476
Practice Address - Street 1:167 STONE HILL RD
Practice Address - Street 2:
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722-1726
Practice Address - Country:US
Practice Address - Phone:732-683-9305
Practice Address - Fax:732-683-9476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-20
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory