Healthcare Provider Details

I. General information

NPI: 1295015147
Provider Name (Legal Business Name): 247 HEART & VASCULAR MANAGEMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2011
Last Update Date: 01/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 COMMONS WAY SUITE 211
PRINCETON NJ
08540-1508
US

IV. Provider business mailing address

211 COMMONS WAY SUITE 211
PRINCETON NJ
08540-1508
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 StateNJ

VIII. Authorized Official

Name: JIGNYA PATEL
Title or Position: CFO
Credential:
Phone: 732-979-3579