Healthcare Provider Details

I. General information

NPI: 1861873242
Provider Name (Legal Business Name): 247 HEART AND VASCULAR CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2015
Last Update Date: 06/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3084 STATE ROUTE 27 STE 5
KENDALL PARK NJ
08824-1657
US

IV. Provider business mailing address

3084 STATE ROUTE 27 STE 5
KENDALL PARK NJ
08824-1657
US

V. Phone/Fax

Practice location:
  • Phone: 800-247-0309
  • Fax: 800-336-7779
Mailing address:
  • Phone: 800-247-0309
  • Fax: 800-336-7779

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: JIGNA PATEL
Title or Position: OFFICE MANAGER
Credential:
Phone: 800-247-0309