Organization
THE CARDIOVASCULAR SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID RALPH URBACH MD (CHAIRMAN OF THE BOARD)
(508) 540-0604
Entity
Organization
Contact information
Practice address
90 TER HEUN DR, SUITE 300, FALMOUTH, MA 02540-2533
(508) 540-0604
(508) 495-7097
Mailing address
90 TER HEUN DR, SUITE 300, FALMOUTH, MA 02540-2533
(508) 540-0604
(508) 495-7097
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
47033
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9786902
—
MA
01
—
CG6955
MEDICARE ID TYPE UNSPECIFIED
MA
Enumeration date
06/04/2006
Last updated
09/16/2014
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