Provider Demographics
NPI:1386119014
Name:HAMILTON HEART & VASCULAR CARE LLC
Entity type:Organization
Organization Name:HAMILTON HEART & VASCULAR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAYTHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBIZEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-747-4511
Mailing Address - Street 1:3379 QUAKERBRIDGE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-1269
Mailing Address - Country:US
Mailing Address - Phone:215-747-4511
Mailing Address - Fax:215-476-1427
Practice Address - Street 1:3379 QUAKERBRIDGE RD STE 200
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-1269
Practice Address - Country:US
Practice Address - Phone:215-747-4511
Practice Address - Fax:215-476-1427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty