Healthcare Provider Details
I. General information
NPI: 1205953767
Provider Name (Legal Business Name): MUHLENBERG HEART GROUP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
338 CORTLANDT ST
BELLEVILLE NJ
07109-3202
US
IV. Provider business mailing address
338 CORTLANDT ST
BELLEVILLE NJ
07109-3202
US
V. Phone/Fax
- Phone: 973-751-7515
- Fax:
- Phone: 973-751-7515
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
HENRY
ALTSZULER
Title or Position: DIRECTOR
Credential: M.D.
Phone: 908-668-2000