Provider Demographics
| NPI: | 1790944759 |
|---|---|
| Name: | PERINATAL CARDIOLOGY CONSULTANTS |
| Entity type: | Organization |
| Organization Name: | PERINATAL CARDIOLOGY CONSULTANTS |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | DOCTOR/OWNER |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | SHARON |
| Authorized Official - Middle Name: | ROBYN |
| Authorized Official - Last Name: | WEIL-CHALKER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 610-789-0643 |
| Mailing Address - Street 1: | 127 W CHESTER PIKE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | HAVERTOWN |
| Mailing Address - State: | PA |
| Mailing Address - Zip Code: | 19083-5315 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 610-789-0643 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 127 W CHESTER PIKE |
| Practice Address - Street 2: | |
| Practice Address - City: | HAVERTOWN |
| Practice Address - State: | PA |
| Practice Address - Zip Code: | 19083-5315 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 610-789-0643 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2008-06-05 |
| Last Update Date: | 2008-06-05 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| PA | MD037618E | 174400000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 174400000X | Other Service Providers | Specialist | Group - Single Specialty |