Cardiac, Thoracic and Vascular Surgical Associate, PA
Cardiac, Thoracic and Vascular Surgical Associate, PA provides Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician services in Glen Ridge, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.
- Licensed in
- NJ
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
123 Highland Ave Ste G2Glen Ridge, NJ 07028-1527 Not confirmed with CMS for 16 years — call before visiting
Phone: (973) 743-9900
Fax: (973) 743-3222
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) | Taxonomy 208G00000X · Licence MA37001 (NJ) |
|---|
Record details
| NPI number | 1174652077 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Holwitt — Chief Executive Officer · (973) 743-9900 |
| NPI enumerated | March 5, 2007 |
| Last updated in NPPES | July 6, 2010 |
| Mailing address | 123 Highland Ave, Suite G2, Glen Ridge, NJ 07028-1527 |