Provider Demographics
NPI:1821037748
Name:WACHSPRESS & RAINEAR CARDIOLOGY ASSOCIATES P A
Entity Type:Organization
Organization Name:WACHSPRESS & RAINEAR CARDIOLOGY ASSOCIATES P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:WINFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:856-692-7979
Mailing Address - Street 1:1076 E CHESTNUT AVE
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-5843
Mailing Address - Country:US
Mailing Address - Phone:856-692-7979
Mailing Address - Fax:856-692-6994
Practice Address - Street 1:1076 E CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-5843
Practice Address - Country:US
Practice Address - Phone:856-692-7979
Practice Address - Fax:856-692-6994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
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
NJ3450902Medicaid
NJ3450902Medicaid