Healthcare Provider Details

I. General information

NPI: 1285636068
Provider Name (Legal Business Name): WESTWOOD CARDIOLOGY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 01/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 OLD HOOK RD SUITE 200
WESTWOOD NJ
07675-3200
US

IV. Provider business mailing address

333 OLD HOOK RD SUITE 200
WESTWOOD NJ
07675-3200
US

V. Phone/Fax

Practice location:
  • Phone: 201-664-0201
  • Fax: 201-666-7970
Mailing address:
  • Phone: 201-664-0201
  • Fax: 201-666-7970

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: MR. JOHN SCAGLIONE
Title or Position: MANAGER
Credential:
Phone: 201-664-0201