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NPI 1689706871

NPI 1689706871 : CARDIOLOGY CENTER OF NORTH JERSEY : CLIFTON, NJ

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General NPI Number Information
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    NPI Number           |    1689706871
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    Entity Type          |    Organization 
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    Legal Business Name  |    CARDIOLOGY CENTER OF NORTH JERSEY 
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Dates
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    Enumeration Date     |    03/12/2007
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    Last Update Date     |    06/24/2010
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Provider Practice Location Address
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    Address Line         |    1030 CLIFTON AVENUE 
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    City                 |    CLIFTON
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    State                |    NJ
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    Zip                  |    07013
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    Country              |    US
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    Telephone            |    973-778-3777
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    Fax                  |    973-778-3252
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Provider Business Mailing Address
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    Address Line         |    1030 CLIFTON AVENUE 
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    City                 |    CLIFTON
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    State                |    NJ
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    Zip                  |    07013
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    Country              |    US
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    Telephone            |    973-778-3777
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    Fax                  |    973-778-3252
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Authorized Official
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    Title or Position    |    SENIOR PARTNER PRESIDENT
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    Name                 |    DR. EDWARD  JULIE 
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    Credential           |    MD
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    Telephone            |    973-778-3777
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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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