# PHOENIX CARDIOVASCULAR, INC.

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

## Provider details

- **NPI number:** 1053388397
- **Authorized official:** CHERYL A FORD (CEO)
- **Authorized official phone:** (508) 880-3700

## Contact information

- **Practice address:** 585 STEWART AVE, LL16, GARDEN CITY, NY 11530-4783
- **Practice address phone:** (508) 880-3700
- **Mailing address:** 100 MYLES STANDISH BLVD, TAUNTON, MA 02780-7321
- **Mailing address phone:** (508) 880-3700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | NULL | Yes |

## Other

- **Enumeration date:** 03/07/2006
- **Last updated:** 04/29/2008