Provider Demographics
NPI:1215120001
Name:ESSEX CARDIOLOGY GROUP P.C.
Entity type:Organization
Organization Name:ESSEX CARDIOLOGY GROUP P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCALLISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-736-9557
Mailing Address - Street 1:10 JAMES STREET
Mailing Address - Street 2:SUITE 130
Mailing Address - City:FLORHAMPARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932
Mailing Address - Country:US
Mailing Address - Phone:973-736-9557
Mailing Address - Fax:973-736-9757
Practice Address - Street 1:10 JAMES STREET
Practice Address - Street 2:SUITE 130
Practice Address - City:FLORHAMPARK
Practice Address - State:NJ
Practice Address - Zip Code:07932
Practice Address - Country:US
Practice Address - Phone:973-736-9557
Practice Address - Fax:973-736-9757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB53732207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty