Provider Demographics
NPI:1013128602
Name:WAYNE CARDIOLOGY, LLC
Entity Type:Organization
Organization Name:WAYNE CARDIOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMILE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOSS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-942-7377
Mailing Address - Street 1:510 HAMBURG TPKE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2025
Mailing Address - Country:US
Mailing Address - Phone:973-942-7377
Mailing Address - Fax:973-942-7030
Practice Address - Street 1:43 PELHAM RD
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2800
Practice Address - Country:US
Practice Address - Phone:973-942-7377
Practice Address - Fax:973-942-7030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty