Healthcare Provider Details

I. General information

NPI: 1437291739
Provider Name (Legal Business Name): CARDIOVASCULAR HEALTH CONSULTANTS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MADISON AVE
MORRISTOWN NJ
07960-6136
US

IV. Provider business mailing address

100 MADISON AVE
MORRISTOWN NJ
07960-6136
US

V. Phone/Fax

Practice location:
  • Phone: 732-919-3590
  • Fax: 973-267-2912
Mailing address:
  • Phone: 732-919-3590
  • Fax: 973-267-2912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number25MA07311700
License Number StateNJ

VIII. Authorized Official

Name: DR. LINDA GILLAM
Title or Position: CHAIRMAN
Credential: M.D.
Phone: 973-971-5899