Healthcare Provider Details
I. General information
NPI: 1861787129
Provider Name (Legal Business Name): HUMC CARDIOVASCULAR PARTNERS, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/15/2011
Last Update Date: 06/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
211 ESSEX ST SUITE 306
HACKENSACK NJ
07601-3231
US
IV. Provider business mailing address
211 ESSEX ST SUITE 306
HACKENSACK NJ
07601-3231
US
V. Phone/Fax
- Phone: 201-343-2050
- Fax: 201-343-4512
- Phone: 201-343-2050
- Fax: 201-343-4512
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RI0011X |
| Taxonomy | Interventional Cardiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
VIRENDER
SETHI
Title or Position: OWNER
Credential: MD
Phone: 201-343-2050