Jack L Garden in Phila - Cardiovascular Disease
Jack L Garden - NPI 1356328108
Jack L Garden is a Cardiovascular Disease in Phila, Pennsylvania. Jack L Garden practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Jack L Garden is 1356328108. The last update date is 2018-11-21.
Jack L Garden's current location address is 2422 S Broad St, Phila, Pennsylvania. You can contact this provider via phone number 2153891748 and fax number 2153890604. The mailing address for Jack L Garden is 2422 S Broad St, Phila, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack L Garden |
|---|---|
| Address | 2422 S Broad St, Phila, Pennsylvania |
| Phone Number | 2153891748 |
| Fax Number | 2153890604 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1356328108 |
|---|---|
| Provider Enumeration Date | 2005-12-22 |
| Last Updated Date | 2018-11-21 |
Provider Mailing Address Detail
| Address | 2422 S Broad St |
|---|---|
| City | Phila |
| State | Pennsylvania (PA) |
| Post Code | 191454418 |
| Phone Number | 2153891748 |
| Fax Number | 2153890604 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 25MA08143100 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11409460002 | PA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jack L Garden by the Centers for Medicare & Medicaid Services?
The Jack L Garden has been issued the NPI (National Provider Identifier) 1356328108. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jack L Garden?
The Jack L Garden is physically situated at 2422 S Broad St, in the city of Phila, state of PA, with the postal code 191454418.
What is Jack L Garden's area of expertise and its corresponding taxonomy classification?
The Jack L Garden's field of specialization is Cardiovascular Disease, and it falls under the taxonomy code 207Rc0000X, which categorizes healthcare providers based on their areas of practice.
When was the Jack L Garden's 1356328108 issued?
The Jack L Garden's 1356328108 was issued on 2005-12-22.
As of what date were the details pertaining to Jack L Garden last refreshed?
The information related to the Jack L Garden, including its address, specialty, and other relevant details, was last updated on 2018-11-21.