Provider Demographics
NPI:1962425108
Name:HEART ASSOCIATES OF CONCORD, LLP
Entity type:Organization
Organization Name:HEART ASSOCIATES OF CONCORD, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-371-2273
Mailing Address - Street 1:131 ORNAC
Mailing Address - Street 2:STE 650 JOHN CUMING BLDG
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742
Mailing Address - Country:US
Mailing Address - Phone:978-371-2273
Mailing Address - Fax:978-371-7568
Practice Address - Street 1:131 ORNAC
Practice Address - Street 2:STE 650 JOHN CUMING BLDG
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742
Practice Address - Country:US
Practice Address - Phone:978-371-2273
Practice Address - Fax:978-371-7568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9785272Medicaid
M20664Medicare ID - Type Unspecified
A66961Medicare UPIN