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Organization
NEW LIFE CARDIOVASCULAR CARE, P.C.
Active
Organization
NEW LIFE CARDIOVASCULAR CARE, P.C.
Active
Parent organization
NEW LIFE CARDIOVASCULAR CARE
Other names
New Life Cardiovascular and Primary
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW LIFE CARDIOVASCULAR CARE
Authorized official
DR. MICHAEL M MILBOURNE M.D. (PRESIDENT)
(215) 870-4144
Entity
Organization
Contact information
Practice address
805 E WILLOW GROVE AVE STE 1C, GLENSIDE, PA 19038-7968
(215) 870-4144
(215) 793-4488
Mailing address
407 HIGHGATE DR, AMBLER, PA 19002-1559
(215) 870-4144
(215) 793-4488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
MD050825L
PA
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001924524
BSPA
PA
01
—
2793777000
AMERIHEALTH
PA
01
—
30036888
KEYSTONE MERCY
PA
01
—
4206
BRAVO
PA
01
—
7176947
AETNA
PA
01
—
7185016
CIGNA
PA
Enumeration date
12/06/2006
Last updated
05/16/2024
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