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CMC DEPARTMENT OF MEDICINE GROUP PA NPI 1609908094


NPI Information

NPI: 1609908094
Provider Name: CMC DEPARTMENT OF MEDICINE GROUP, PA
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
3 COOPER PLZ
SUITE 311 CARDIOLOGY
CAMDEN, NJ
ZIP 08103
Phone: (856) 342-2034
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CMC DEPARTMENT OF MEDICINE GROUP, PA is a cardiovascular disease internal medicine in Camden, NJ. The provider is 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. CMC DEPARTMENT OF MEDICINE GROUP, PA NPI is 1609908094. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3 COOPER PLZ
SUITE 311 CARDIOLOGY
CAMDEN, NJ
ZIP 08103-438
Phone: (856) 342-2034
Fax: (856) 342-6608

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 3/12/2007 and was last updated on 3/25/2009.


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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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
1183652MEDICARE PINNEW JERSEY
22363616000OTHERNEW JERSEYAMERIHEALTH GRP#

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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