Provider Demographics
NPI:1932280864
Name:ASSOCIATES IN CARDIOLOGY AND INTERNAL MEDICINE PA
Entity Type:Organization
Organization Name:ASSOCIATES IN CARDIOLOGY AND INTERNAL MEDICINE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAUKAT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUDHERY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-607-1111
Mailing Address - Street 1:42 THROCKMORTON LN
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-2572
Mailing Address - Country:US
Mailing Address - Phone:732-607-9301
Mailing Address - Fax:732-607-9306
Practice Address - Street 1:42 THROCKMORTON LN
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-2572
Practice Address - Country:US
Practice Address - Phone:732-607-9301
Practice Address - Fax:730-607-9306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3375307Medicaid
NJ3375307Medicaid