MEDICARE: COMPREHENSIVE CARDIOLOGY CONSULTANTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	423780	OTHER	PA	PENNSYLVANIA BLUE SHIELD
2	0637206000	OTHER	NJ	AMERIHEALTH
3	269546	OTHER	NJ	PENNSYLVANIA BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	0556516000	OTHER	PA	KEYSTONE

General Provider Information

NPI Number	:	1619946118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE CARDIOLOGY CONSULTANTS

Provider Business Mailing Address
First Line	:	1 UNION ST
Second Line	:	SUITE 101
City	:	ROBBINSVILLE
State	:	NJ
Zip	:	08691-4183
Country	:	US
Telephone Number	:	609-890-6677
Fax Number	:	609-890-7292

Provider Business Practice Location Address
First Line	:	1 UNION ST
Second Line	:	SUITE 101
City	:	ROBBINSVILLE
State	:	NJ
Zip	:	08691-4183
Country	:	US
Telephone Number	:	609-890-6677
Fax Number	:	609-890-7292

Authorized Official
Title or Position	:	M.D.
Name	:	MARK J SOFFER
Credential	:	M.D.
Telephone Number	:	609-890-6677

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1497722060 — MARK J SOFFER MD
Practice Location Address:

1 UNION ST , SUITE 101
ROBBINSVILLE, NJ
08691-4183

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Practice Fax: 609-890-7292

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ROBBINSVILLE, NJ
08691-4183

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Practice Location Address:

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Practice Location Address:

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1164350096 — JESSICA L PALMIERI
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Directions to “COMPREHENSIVE CARDIOLOGY CONSULTANTS ” Practice Location

Language	Start Address	Practice Location

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