Organization
ACADEMIC CARDIOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN F MCGOUGH M.D. (VP)
(248) 293-0055
Entity
Organization
Contact information
Practice address
1701 SOUTH BLVD E, SUITE 390, ROCHESTER HILLS, MI 48307-6122
(248) 293-0055
(248) 293-3348
Mailing address
1701 SOUTH BLVD E, SUITE 390, ROCHESTER HILLS, MI 48307-6122
(248) 293-0055
(248) 293-3348
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J0251
RAILROAD MEDICARE
MI
Enumeration date
05/31/2006
Last updated
04/20/2008
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