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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THEODORE J SOUTHGATE, MD

Active

THEODORE J SOUTHGATE, MD is a Cardiovascular Disease healthcare provider located in NEWARK, New Jersey. NPI 1730156217 is currently active in the NPPES registry. Verify at CMS.

Cardiovascular Disease · NEWARK, NJ

Registration Details

NPI Number
1730156217
Provider Type
Individual
Gender
Male
NPI Issued
Mar 3, 2006 (20.408659753872 yrs)
Last Updated
Jul 8, 2007
License
25MA05005700 (NJ)

Practice Information

Address
201 LYONS AVE
SUITE G5
NEWARK, NJ, 071122027
Browse NJ providers · Browse ZIP 07112
Phone
9739267749
Fax
9739234683
Primary Specialty
Cardiovascular Disease
207RC0000X

Other Cardiovascular Disease Providers in NEWARK, NJ

Name Credential NPI
DR. GHASSAN M CHEHADE MD 1093717431
JULIUS M GARDIN MD 1245226794
CRAIG R SAUNDERS MD 1821065400
RAVINDRA N KARANAM MD 1922075506
FREDERICK F SARDARI MD 1871560458
MARGARITA T CAMACHO MD 1164499620
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.