Organization Name: | ANTITHROMBOTIC CENTER, LLC |
NPI Number: | 1043337470 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA SALISBURY (ADVANCED PRACTICE NURSE) |
Mailing Address: | 337 Market St Suite #2 Saddle Brook |
State: | NJ US |
Postal Code: | 076635313 |
Phone Number: | 9738358575 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 1299539 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |