Organization
PHOENIX CARDIOVASCULAR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL A FORD (CEO)
(508) 880-3700
Entity
Organization
Contact information
Practice address
585 STEWART AVE, LL16, GARDEN CITY, NY 11530-4783
(508) 880-3700
Mailing address
100 MYLES STANDISH BLVD, TAUNTON, MA 02780-7321
(508) 880-3700
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
03/07/2006
Last updated
04/29/2008
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