Provider Demographics
NPI:1780981209
Name:CARDIOLOGY CONSULTANTS OF ENGLEWOOD CLIFFS, PC
Entity type:Organization
Organization Name:CARDIOLOGY CONSULTANTS OF ENGLEWOOD CLIFFS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:INBO
Authorized Official - Last Name:SHIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-569-1800
Mailing Address - Street 1:700 E PALISADE AVE
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-3058
Mailing Address - Country:US
Mailing Address - Phone:201-569-1800
Mailing Address - Fax:201-569-1880
Practice Address - Street 1:700 E PALISADE AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-3058
Practice Address - Country:US
Practice Address - Phone:201-569-1800
Practice Address - Fax:201-569-1880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-18
Last Update Date:2011-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty