Provider Demographics
NPI:1548680861
Name:CARDIOLOGY GROUP RWJUHR
Entity type:Organization
Organization Name:CARDIOLOGY GROUP RWJUHR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AVP FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:KISYLIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-499-6028
Mailing Address - Street 1:865 STONE ST
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-2742
Mailing Address - Country:US
Mailing Address - Phone:732-381-4200
Mailing Address - Fax:
Practice Address - Street 1:865 STONE ST
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-2742
Practice Address - Country:US
Practice Address - Phone:732-381-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-04-25
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty