Healthcare Provider Details

I. General information

NPI: 1356447296
Provider Name (Legal Business Name): CARDIOLOGY DIVISION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 10/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 WILLIAMSON ST SUITE 502
ELIZABETH NJ
07202-3674
US

IV. Provider business mailing address

240 WILLIAMSON ST SUITE 502
ELIZABETH NJ
07202-3674
US

V. Phone/Fax

Practice location:
  • Phone: 908-994-5300
  • 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: 908-355-9177