in Honesdale - Cardiovascular Disease

- NPI 1093826919

is a Cardiovascular Disease in Honesdale, Pennsylvania. practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for is 1093826919. The last update date is .

's current location address is 310 Sunrise Ave, Honesdale, Pennsylvania. You can contact this provider via phone number 5702534255 and fax number 5702536844. The mailing address for is 310 Sunrise Ave, Honesdale, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 310 Sunrise Ave, Honesdale, Pennsylvania
Phone Number 5702534255
Fax Number 5702536844
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1093826919
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 310 Sunrise Ave
City Honesdale
State Pennsylvania (PA)
Post Code 18431
Phone Number 5702534255
Fax Number 5702536844

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No MD035300E
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10504730001 PA --

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