Provider Demographics
NPI:1790918126
Name:CENTRAL JERSEY HEART GROUP
Entity Type:Organization
Organization Name:CENTRAL JERSEY HEART GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALIYA
Authorized Official - Middle Name:F
Authorized Official - Last Name:BROWNE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-883-9100
Mailing Address - Street 1:1230 PARKWAY AVE
Mailing Address - Street 2:SUITE 303
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08628-3018
Mailing Address - Country:US
Mailing Address - Phone:609-883-9100
Mailing Address - Fax:609-883-9111
Practice Address - Street 1:1230 PARKWAY AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08628-3018
Practice Address - Country:US
Practice Address - Phone:609-883-9100
Practice Address - Fax:609-883-9111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB06820000207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty