31D2067308 CLIA NUMBER - CARDIOLOGY OF NEW JERSEY PC

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Laboratory Demographics

CLIA Number: 31D2067308

Facility Name: CARDIOLOGY OF NEW JERSEY PC

Facility Address:
2433 HIGHWAY 516
OLD BRIDGE, NJ
ZIP 08857
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Facility Phone Number: 732 617-0033

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1790037679

Taxonomy: 207RC0000X - Internal Medicine
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.

CLIA Record

Field Name	Field Value
CLIA Number	31D2067308
LAB Type	Physician Office
Facility Name	CARDIOLOGY OF NEW JERSEY PC
Street	2433 HIGHWAY 516
City	OLD BRIDGE
State	NJ
ZIP	08857
Phone	732 617-0033
CertificateType	4
CertificateEffectiveDate	10/11/2023
CertificateExpirationDate	10/10/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024