| Organization Name: | DIVAGNO INTERVENTIONAL CARDIOLOGY MD PA |
| NPI Number: | 1588680110 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEONARDO JOSEPH DIVAGNO (PRACTITIONER) |
| Mailing Address: | 218 State Rt 17 N Suite 310 Rochelle Park |
| State: | NJ US |
| Postal Code: | 076623399 |
| Phone Number: | 2018453535 |
| Fax Number: | 2018454040 |
| NPI Enumeration Date: | 07/15/2006 |
| NPI Last Update Date: | 11/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | MA69173 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |