Provider Demographics
NPI:1548697410
Name:ORCHARD CARDIOLOGY PC LLC
Entity type:Organization
Organization Name:ORCHARD CARDIOLOGY PC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:V
Authorized Official - Last Name:TAMBURRINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-678-2191
Mailing Address - Street 1:199 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KEANSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:07734-1734
Mailing Address - Country:US
Mailing Address - Phone:917-678-2191
Mailing Address - Fax:
Practice Address - Street 1:199 MAIN ST
Practice Address - Street 2:SUITE 2B
Practice Address - City:KEANSBURG
Practice Address - State:NJ
Practice Address - Zip Code:07734-1734
Practice Address - Country:US
Practice Address - Phone:732-495-1155
Practice Address - Fax:732-333-8136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-08
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09181500207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty