Organization Name: | CEDARBROOK CARDIOLOGY LLC |
NPI Number: | 1447200431 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YOUNUS A. RAKLA (OWNER) |
Mailing Address: | 902 Oak Tree Ave Suite 400 South Plainfield |
State: | NJ US |
Postal Code: | 070805136 |
Phone Number: | 9087561703 |
Fax Number: | 9087561793 |
NPI Enumeration Date: | 05/11/2006 |
NPI Last Update Date: | 06/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA43667 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |