Provider Demographics
NPI:1962561035
Name:CARDIOVASCULAR MANAGEMENT SYSTEMS
Entity type:Organization
Organization Name:CARDIOVASCULAR MANAGEMENT SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:CONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-424-3045
Mailing Address - Street 1:23 CANDLEWYCK WAY
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-1226
Mailing Address - Country:US
Mailing Address - Phone:856-424-3045
Mailing Address - Fax:856-424-6084
Practice Address - Street 1:668 MAIN ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-5016
Practice Address - Country:US
Practice Address - Phone:609-702-0589
Practice Address - Fax:609-702-0404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ021242Medicare ID - Type UnspecifiedMEDICARE PROVIDER #