# CARDIAC CARE CENTER LLC

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

## Provider details

- **NPI number:** 1043301385
- **Authorized official:** DR. MARK F. VICTOR MD (MEDICAL LIAISON)
- **Authorized official phone:** (215) 762-7776

## Contact information

- **Practice address:** 230 N BROAD ST, MS 225 2ND FL. BOBST BLDG., PHILADELPHIA, PA 19102-1121
- **Practice address phone:** (215) 762-7350
- **Mailing address:** 230 N BROAD ST, MS 225 2ND FL. BOBST BLDG., PHILADELPHIA, PA 19102-1121
- **Mailing address phone:** (215) 762-7350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | PA | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 08/22/2020