Healthcare Provider Details

I. General information

NPI: 1538238852
Provider Name (Legal Business Name): MUHLENBERG HEART GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PARK AVE & RANDOLPH RD
PLAINFIELD NJ
07060-3300
US

IV. Provider business mailing address

338 CORTLANDT ST
BELLEVILLE NJ
07109-3202
US

V. Phone/Fax

Practice location:
  • Phone: 908-668-2000
  • Fax:
Mailing address:
  • Phone: 973-751-7515
  • Fax: 973-751-1359

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: HENRY ALTSZULER
Title or Position: PHYSICIAN DIRECTOR
Credential: M.D.
Phone: 908-654-3080