Healthcare Provider Details

I. General information

NPI: 1962561035
Provider Name (Legal Business Name): CARDIOVASCULAR MANAGEMENT SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 02/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

668 MAIN ST
LUMBERTON NJ
08048-5016
US

IV. Provider business mailing address

23 CANDLEWYCK WAY
CHERRY HILL NJ
08003-1226
US

V. Phone/Fax

Practice location:
  • Phone: 609-702-0589
  • Fax: 609-702-0404
Mailing address:
  • Phone: 856-424-3045
  • Fax: 856-424-6084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. TOM CONA
Title or Position: PRESIDENT
Credential:
Phone: 856-424-3045