Provider Demographics
NPI:1306133111
Name:HUMC CARDIOVASCULAR PARTNERS, PC
Entity type:Organization
Organization Name:HUMC CARDIOVASCULAR PARTNERS, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:
Authorized Official - Last Name:BERKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-461-6200
Mailing Address - Street 1:2200 FLETCHER AVE
Mailing Address - Street 2:SUITE 18
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-5005
Mailing Address - Country:US
Mailing Address - Phone:201-461-6200
Mailing Address - Fax:201-461-7204
Practice Address - Street 1:2200 FLETCHER AVE
Practice Address - Street 2:SUITE 18
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-5005
Practice Address - Country:US
Practice Address - Phone:201-461-6200
Practice Address - Fax:201-461-7204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty