Organization
CHILDREN'S HEART CARE CLINIC LLC
Active
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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