# BN NORTHEAST CARDIAC CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northeast Cardiovascular Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821050824
- **Authorized official:** PATRICK JOHN SHEA M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (513) 865-5120

## Contact information

- **Practice address:** 10506 MONTGOMERY ROAD, SUITE G 103, CINCINNATI, OH 45242-4487
- **Practice address phone:** (513) 865-5120
- **Practice address fax:** (513) 865-5121
- **Mailing address:** 10506 MONTGOMERY ROAD, SUITE G 103, CINCINNATI, OH 45242-4487
- **Mailing address phone:** (513) 865-5120
- **Mailing address fax:** (513) 865-5121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | HCF \#1156 IC | OH | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/05/2006
- **Last updated:** 01/17/2012