Provider Demographics
NPI:1699755249
Name:CARDIO-PULMONARY ASSOCIATES MD PA
Entity type:Organization
Organization Name:CARDIO-PULMONARY ASSOCIATES MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:I
Authorized Official - Last Name:KERSH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-581-6041
Mailing Address - Street 1:333 NW 70TH AVE
Mailing Address - Street 2:#116
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317
Mailing Address - Country:US
Mailing Address - Phone:954-581-6041
Mailing Address - Fax:954-581-0222
Practice Address - Street 1:333 NW 70TH AVE
Practice Address - Street 2:#116
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317
Practice Address - Country:US
Practice Address - Phone:954-581-6041
Practice Address - Fax:954-581-0222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-19
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty