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CMC DEPARTMENT OF MEDICINE NPI 1295941896


NPI Information

NPI: 1295941896
Provider Name: CMC DEPARTMENT OF MEDICINE
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
1 COOPER PLZ
VASCULAR CENTER
CAMDEN, NJ
ZIP 08103
Phone: (856) 342-4192
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CMC DEPARTMENT OF MEDICINE is a vascular and interventional radiology radiology in Camden, NJ. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. CMC DEPARTMENT OF MEDICINE NPI is 1295941896. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 COOPER PLZ
VASCULAR CENTER
CAMDEN, NJ
ZIP 08103-461
Phone: (856) 342-4192
Fax: (856) 365-0472

The provider's authorized official is Robert Mcmullen .
The authorized official title is Evp Managed Care and has the following contact phone number (856) 342-2921.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 3/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0204XRadiologyVascular & Interventional RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12820076000OTHERNEW JERSEYAMERIHEALTH GRP#
2183652MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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