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General NPI Number Information
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NPI Number | 1356475578
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR DIAGNOSTIC ASSOCIATES
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 03/26/2008
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Provider Practice Location Address
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Address Line | 1 BAY AVE MOUNTAINSIDE HOSPITAL CARDIAC SERVICES
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City | MONTCLAIR
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State | NJ
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Zip | 07042-4837
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Country | US
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Telephone | 973-743-4114
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 827235
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City | PHILADELPHIA
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State | PA
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Zip | 19182-7235
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Country | US
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Telephone | 973-743-4114
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN A DIFILIPPO
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Credential | MD
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Telephone | 973-743-4114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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