Organization
CHILDREN'S HEART CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN TODMAN MD (EVP AND CHIEF MEDICAL OFFICER)
(646) 234-8354
Entity
Organization
Contact information
Practice address
14328 WATERWAY BLVD, FORTVILLE, IN 46040-9455
(646) 234-8354
Mailing address
14328 WATERWAY BLVD, FORTVILLE, IN 46040-9455
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
01063650A
IN
Other
Enumeration date
12/26/2009
Last updated
02/15/2011
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