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NPI Code Detail

MEDICARE: CARDIAC CARE CENTER LLC

MEDICARE: CARDIAC CARE CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist25000MA6091600NJ

General Provider Information

NPI Number : 1740386994
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDIAC CARE CENTER LLC
Provider Business Mailing Address
First Line : PO BOX 7580
Second Line :
City : SHREWSBURY
State : NJ
Zip : 07702
Country : US
Telephone Number : 732-741-7400
Fax Number : 732-219-7638
Provider Business Practice Location Address
First Line : 21 N GILBERT ST
Second Line :
City : TINTON FALLS
State : NJ
Zip : 07701-4950
Country : US
Telephone Number : 732-741-7400
Fax Number : 732-219-7638
Authorized Official
Title or Position : MANAGING PARTNER
Name : DR. ARISTOTELIS VLAHOS
Credential : M.D.
Telephone Number : 732-741-7400
Provider Enumeration Date : 09/15/2006
Last Update Date : 10/08/2008

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Directions to “CARDIAC CARE CENTER LLC ” Practice Location

Language Start Address Practice Location
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