# CARDIOVASCULAR SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013187269
- **Authorized official:** MR. KENNETH R HANSEN (OWNER)
- **Authorized official phone:** (570) 586-7815

## Contact information

- **Practice address:** 1624 NEWTON RANSOM BLVD, CLARKS SUMMIT, PA 18411-9634
- **Practice address phone:** (570) 586-7815
- **Mailing address:** 1624 NEWTON RANSOM BLVD, CLARKS SUMMIT, PA 18411-9634
- **Mailing address phone:** (570) 586-7815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/04/2008
- **Last updated:** 03/04/2008