Healthcare Provider Details

I. General information

NPI: 1912909367
Provider Name (Legal Business Name): CARDIOLOGY CONSULTANTS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

298 BIANCA AVE
CARNEYS POINT NJ
08069-2633
US

IV. Provider business mailing address

298 BIANCA AVE
CARNEYS POINT NJ
08069-2633
US

V. Phone/Fax

Practice location:
  • Phone: 856-299-0002
  • Fax: 856-299-6169
Mailing address:
  • Phone: 856-299-0002
  • Fax: 856-299-6169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number StateNJ

VIII. Authorized Official

Name: PAUL WILLIAM SAUERS
Title or Position: PRESIDENT OF CORPORATION
Credential: PO FACC
Phone: 856-299-0002