Cardiac, Thoracic and Vascular Surgical Associate, P.a.
NPI #1174652077 in Glen Ridge, New Jersey
Provider Information
- NPI Number
- 1174652077
- Entity Type
- Organization
- Organization Name
- Cardiac, Thoracic and Vascular Surgical Associate, P.a.
- Primary Specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery)
- Enumeration Date
- Mar 5, 2007
- Last Updated
- Jul 6, 2010
Practice Location
- Address
- 123 HIGHLAND AVE
- Address 2
- SUITE G2
- City
- Glen Ridge
- State
- New Jersey
- ZIP Code
- 07028-1527
- Phone
- (973) 743-9900
Authorized Official
- Name
- DR. KENNETH N HOLWITT, M.D.
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (973) 743-9900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) |
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