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Organization
THORACIC & VASCULAR ASSOCIATES, P.S.C.
Active
Organization
THORACIC & VASCULAR ASSOCIATES, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN SHEHAN (ADMINISTRATOR)
(502) 583-9565
Entity
Organization
Contact information
Practice address
201 ABRAHAM FLEXNER WAY, SUITE 1004, LOUISVILLE, KY 40202-3841
(502) 589-3173
(502) 589-6751
Mailing address
201 ABRAHAM FLEXNER WAY, SUITE 1004, LOUISVILLE, KY 40202-3841
(502) 589-3173
(502) 589-6751
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NULL
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65929234
—
KY
Enumeration date
07/06/2006
Last updated
01/29/2008
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