Cardiovascular Associates Of Northeastern Indiana Llc in Ft Wayne - Vascular Surgery
Cardiovascular Associates Of Northeastern Indiana Llc - NPI 1083684948
Cardiovascular Associates Of Northeastern Indiana Llc is a Vascular Surgery in Ft Wayne, Indiana. Cardiovascular Associates Of Northeastern Indiana Llc practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Cardiovascular Associates Of Northeastern Indiana Llc is 1083684948. The last update date is 2011-11-28.
Cardiovascular Associates Of Northeastern Indiana Llc's current location address is 7900 W Jefferson Blvd, Ft Wayne, Indiana. You can contact this provider via phone number 2604366098 and fax number 2604363173. The mailing address for Cardiovascular Associates Of Northeastern Indiana Llc is 7900 W Jefferson Blvd, Ft Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cardiovascular Associates Of Northeastern Indiana Llc |
|---|---|
| Address | 7900 W Jefferson Blvd, Ft Wayne, Indiana |
| Phone Number | 2604366098 |
| Fax Number | 2604363173 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Csicsko John |
| Credentials | MD |
| Telephone Number | 2604366098 |
NPI Number Detail
| NPI Number | 1083684948 |
|---|---|
| Provider Enumeration Date | 2006-01-24 |
| Last Updated Date | 2011-11-28 |
Provider Mailing Address Detail
| Address | 7900 W Jefferson Blvd |
|---|---|
| City | Ft Wayne |
| State | Indiana (IN) |
| Post Code | 468044128 |
| Phone Number | 2604366098 |
| Fax Number | 2604363173 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200049160A | IN | -- | |
| CA5617 | IN | TAVELERS MEDICARE |
Post Comment/ Review Below
What is the Cardiovascular Associates Of Northeastern Indiana Llc's 1083684948?
The Cardiovascular Associates Of Northeastern Indiana Llc's NPI (National Provider Identifier) Number is 1083684948. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Cardiovascular Associates Of Northeastern Indiana Llc is geographically located?
The Cardiovascular Associates Of Northeastern Indiana Llc is physically situated at the following location: 7900 W Jefferson Blvd, Ft Wayne, IN, 468044128.
What is Cardiovascular Associates Of Northeastern Indiana Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Cardiovascular Associates Of Northeastern Indiana Llc is Vascular Surgery, and the taxonomy code that categorizes this field of expertise is 2086S0129X.
When was the Cardiovascular Associates Of Northeastern Indiana Llc's 1083684948 issued?
The Cardiovascular Associates Of Northeastern Indiana Llc's 1083684948 was issued on 2006-01-24.
When was the information pertaining to Cardiovascular Associates Of Northeastern Indiana Llc most recently updated or revised?
The details related to Cardiovascular Associates Of Northeastern Indiana Llc, including its address, specialty, and other relevant information, were last updated or revised on 2011-11-28.
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