Healthcare Provider Details
I. General information
NPI: 1053257469
Provider Name (Legal Business Name): COMPREHENSIVE CARDIOVASCULAR CONSULTANTS OF NJ
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
700 RAHWAY AVE FL 1
UNION NJ
07083-6634
US
IV. Provider business mailing address
700 RAHWAY AVE FL 1
UNION NJ
07083-6634
US
V. Phone/Fax
- Phone: 908-451-3544
- Fax: 201-244-3289
- Phone: 908-451-3544
- Fax: 201-244-3289
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANJUM
TANWIR
Title or Position: OWNER
Credential: MD
Phone: 908-451-3544