Provider Demographics
NPI:1255884417
Name:ADVANCED HEART AND VASCULAR INSTITUTE OF HUNTERDON
Entity type:Organization
Organization Name:ADVANCED HEART AND VASCULAR INSTITUTE OF HUNTERDON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREY
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPINOZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-237-9092
Mailing Address - Street 1:200 HIGHWAY 31 STE 101
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-5811
Mailing Address - Country:US
Mailing Address - Phone:908-237-9092
Mailing Address - Fax:908-237-9095
Practice Address - Street 1:200 ROUTE 31 STE 101
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-5811
Practice Address - Country:US
Practice Address - Phone:908-237-3405
Practice Address - Fax:908-237-3398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-25
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07774300207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty