Theodore J Southgate in Newark - Cardiovascular Disease
Theodore J Southgate - NPI 1730156217
Theodore J Southgate is a Cardiovascular Disease in Newark, New Jersey. Theodore J Southgate practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Theodore J Southgate is 1730156217. The last update date is 2007-07-08.
Theodore J Southgate's current location address is 201 Lyons Ave, Newark, New Jersey. You can contact this provider via phone number 9739267749 and fax number 9739234683. The mailing address for Theodore J Southgate is 201 Lyons Ave, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore J Southgate |
|---|---|
| Address | 201 Lyons Ave, Newark, New Jersey |
| Phone Number | 9739267749 |
| Fax Number | 9739234683 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1730156217 |
|---|---|
| Provider Enumeration Date | 2006-03-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 201 Lyons Ave |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71122027 |
| Phone Number | 9739267749 |
| Fax Number | 9739234683 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 25MA05005700 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7459106 | NJ | -- |
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What is the Theodore J Southgate's 1730156217?
The Theodore J Southgate's NPI (National Provider Identifier) Number is 1730156217. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the unique identifier code issued to Theodore J Southgate by the Centers for Medicare & Medicaid Services (CMS)?
The Theodore J Southgate has been assigned the NPI (National Provider Identifier) 1730156217. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Theodore J Southgate located?
The Theodore J Southgate is located at 201 Lyons Ave, Newark, NJ 71122027.
When was the Theodore J Southgate's 1730156217 issued?
The Theodore J Southgate's 1730156217 was issued on 2006-03-03.
When was the information pertaining to Theodore J Southgate most recently updated or revised?
The details related to Theodore J Southgate, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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