Healthcare Provider Details

I. General information

NPI: 1235160839
Provider Name (Legal Business Name): CARDIOLOGY SERVICES OF ELIZABETH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 WILLIAMSON ST
ELIZABETH NJ
07202-3625
US

IV. Provider business mailing address

PO BOX 2811
ELIZABETH NJ
07207-2811
US

V. Phone/Fax

Practice location:
  • Phone: 908-994-5322
  • Fax: 908-355-9583
Mailing address:
  • Phone: 908-994-5300
  • Fax: 908-355-9583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ARTHUR MILLMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 908-994-5300