Cardiac, Thoracic and Vascular Surgical Associate, PA
Cardiac, Thoracic and Vascular Surgical Associate, PA is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 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
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 |