Provider Demographics
NPI:1366771453
Name:FA CV CONSULTANTS PC
Entity type:Organization
Organization Name:FA CV CONSULTANTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FADI
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:EL-ATAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-746-1585
Mailing Address - Street 1:127 PINE ST STE 1
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-4868
Mailing Address - Country:US
Mailing Address - Phone:973-744-4075
Mailing Address - Fax:973-744-2179
Practice Address - Street 1:127 PINE ST STE 1
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-4868
Practice Address - Country:US
Practice Address - Phone:973-744-4075
Practice Address - Fax:973-744-2179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235356207RC0000X
NJ25MA08676700207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty