Provider Demographics
NPI:1619946118
Name:COMPREHENSIVE CARDIOLOGY CONSULTANTS
Entity Type:Organization
Organization Name:COMPREHENSIVE CARDIOLOGY CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:J
Authorized Official - Last Name:SOFFER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-890-6677
Mailing Address - Street 1:1 UNION ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ROBBINSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-4183
Mailing Address - Country:US
Mailing Address - Phone:609-890-6677
Mailing Address - Fax:609-890-7292
Practice Address - Street 1:1 UNION ST
Practice Address - Street 2:SUITE 101
Practice Address - City:ROBBINSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08691-4183
Practice Address - Country:US
Practice Address - Phone:609-890-6677
Practice Address - Fax:609-890-7292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA423780OtherPENNSYLVANIA BLUE SHIELD
NJ0637206000OtherAMERIHEALTH
NJ269546OtherPENNSYLVANIA BLUE SHIELD
NJ3399907Medicaid
PA0556516000OtherKEYSTONE
PA423780OtherPENNSYLVANIA BLUE SHIELD
NJ0637206000OtherAMERIHEALTH
NJ23415Medicare UPIN
NJ3399907Medicaid