Organization Name: | GARDEN STATE CARDIO PULMONARY DIAGNOS |
NPI Number: | 1790891562 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KOSAR KAZMI (OWNER PRESIDENT) |
Mailing Address: | 135 Fort Lee Rd Suite # 201 Leonia |
State: | NJ US |
Postal Code: | 076052247 |
Phone Number: | 2015920777 |
Fax Number: | 2015920078 |
NPI Enumeration Date: | 08/22/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | N/A IN NJ AND NY |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |