Healthcare Provider Details

I. General information

NPI: 1124011762
Provider Name (Legal Business Name): HEART-CARE CORPORATION OF AMERICA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2005
Last Update Date: 04/06/2020
Certification Date: 04/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 PHILLIPS BLVD
EWING NJ
08618
US

IV. Provider business mailing address

275 PHILLIPS BLVD
EWING NJ
08618
US

V. Phone/Fax

Practice location:
  • Phone: 800-222-2842
  • Fax: 800-840-6937
Mailing address:
  • Phone: 800-222-2842
  • Fax: 800-840-6937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: CODY COWPER
Title or Position: SECRETARY
Credential:
Phone: 610-720-0502