Provider Demographics
NPI:1699813790
Name:NUCLEAR CARDIOLOGY DIAGNOSTICS PC
Entity Type:Organization
Organization Name:NUCLEAR CARDIOLOGY DIAGNOSTICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:M
Authorized Official - Last Name:DUCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-287-4252
Mailing Address - Street 1:4 ETHEL RD
Mailing Address - Street 2:SUITE 406A
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-2841
Mailing Address - Country:US
Mailing Address - Phone:732-287-4252
Mailing Address - Fax:732-287-1199
Practice Address - Street 1:4 ETHEL RD
Practice Address - Street 2:SUITE 406A
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-2841
Practice Address - Country:US
Practice Address - Phone:732-287-4252
Practice Address - Fax:732-287-1199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246X00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularGroup - Single Specialty