Divagno Interventional Cardiology Md Pa
LBN: Divagno Interventional Cardiology Md Pa
Divagno Interventional Cardiology Md Pa is an health care organization with primary practice located at 218 State Rt 17 N Suite 310, Rochelle Park NJ 07662-3399. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is the primary health care specialty.
Divagno Interventional Cardiology Md Pa can be contacted via phone (201) 845-3535, or through Divagno, Leonardo Joseph via phone (201) 845-3535.
Contact Information
Primary practice address
218 State Rt 17 N Suite 310
Rochelle Park NJ 07662-3399
Phone: (201) 845-3535
Fax: (201) 845-4040
Website:
Authorized official contact:
Name: Divagno, Leonardo Joseph Doctor of Medicine (MD)
Phone: (201) 845-3535
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MA69173 | New Jersey |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X |
Profile Details
| NPI number | 1588680110 |
|---|---|
| LBN Legal business name | Divagno Interventional Cardiology Md Pa |
| DBA Doing business as | |
| Authorized official | Divagno, Leonardo Joseph Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Nov 4th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588680110 | NPPES |
| New Jersey | MEDICAID | 8750009 | |
| New Jersey | Other | P2656071 |
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