Organization
METHODIST ASSOCIATES IN HEALTHCARE HEART STATION
Active
Other names
Cardiology Consultants of Philadelphia @ Jefferson
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN PADGETT (CREDENTIALING MANAGER)
(215) 955-1175
Entity
Organization
Contact information
Practice address
1703 S BROAD ST STE 300, PHILADELPHIA, PA 19148-1536
(215) 463-5333
(215) 463-8085
Mailing address
PO BOX 828937, PHILADELPHIA, PA 19182-8937
(215) 503-1240
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001536515
—
PA
Enumeration date
06/16/2006
Last updated
06/13/2024
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