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Organization
SCRIPPS MERCY PHYSICIANS CARDIOLOGY MEDICAL CORPORATION
Active
Organization
SCRIPPS MERCY PHYSICIANS CARDIOLOGY MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERROLD GLASSMAN MD (PRESIDENT)
(858) 344-3411
Entity
Organization
Contact information
Practice address
4077 FIFTH AVENUE, SCRIPPS MERCY HOSPITAL, SAN DIEGO, CA 92103
(619) 359-6600
(619) 632-5736
Mailing address
550 WASHINGTON ST, SUITE 841, SAN DIEGO, CA 92103-2213
(619) 359-6600
(619) 632-5736
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2056037
MEDICAL
CA
Enumeration date
09/27/2006
Last updated
03/10/2022
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