Healthcare Provider Details

I. General information

NPI: 1427056217
Provider Name (Legal Business Name): CARDIOLOGY CONSULTANTS OF NORTH MORRIS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

356 ROUTE 46 E
MOUNTAIN LAKES NJ
07046-1717
US

IV. Provider business mailing address

356 ROUTE 46 E
MOUNTAIN LAKES NJ
07046-1717
US

V. Phone/Fax

Practice location:
  • Phone: 973-586-3400
  • Fax: 973-586-1916
Mailing address:
  • Phone: 973-586-3400
  • Fax: 973-586-1916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number StateNJ

VIII. Authorized Official

Name: DEBBIE SWEENEY
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 973-586-3400