Individual provider · Type 1 NPI

Theodore J. Southgate, MD

Cardiovascular Disease Physician · Newark, NJ

NPI number 1730156217 Active

Practice location

201 Lyons Ave, Suite G5
Newark, NJ 07112-2027

Call (973) 926-7749 Map

Fax (973) 923-4683

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000X25MA05005700 (NJ)

Cardiovascular Disease Physician: 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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About NPI 1730156217

Theodore J. Southgate, MD's National Provider Identifier is 1730156217, issued on Mar 3, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Newark, NJ. The record was last updated on Jul 13, 2026.