Provider Demographics
NPI:1194768861
Name:CARDIOVASCULAR HEALTHCARE CONSULTANTS PC
Entity type:Organization
Organization Name:CARDIOVASCULAR HEALTHCARE CONSULTANTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAPORTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-647-4260
Mailing Address - Street 1:255 W LANCASTER AVE
Mailing Address - Street 2:PAOLI MEDICAL BLDG 3 SUITE 234
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301
Mailing Address - Country:US
Mailing Address - Phone:610-647-4260
Mailing Address - Fax:610-647-7430
Practice Address - Street 1:255 W LANCASTER AVE
Practice Address - Street 2:PAOLI MEDICAL BLDG 3 SUITE 234
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301
Practice Address - Country:US
Practice Address - Phone:610-647-4260
Practice Address - Fax:610-647-7430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACB9047OtherRAILROAD MEDICARE
PACB9047OtherRAILROAD MEDICARE