Organization
CARDIOVASCULAR MEDICAL ASSOCIATES, P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP NIMOITYN MD (PRESIDENT)
(215) 629-1159
Entity
Organization
Contact information
Practice address
818 CHESTNUT ST, PHILADELPHIA, PA 19107-5104
(215) 629-1159
(215) 923-7621
Mailing address
PO BOX 58263, PHILADELPHIA, PA 19102-8263
(215) 629-1159
(215) 923-7621
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD019676E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00046000
AETNA
PA
05
—
0015088510002
—
PA
01
—
0716167000
IBC
PA
Enumeration date
08/30/2006
Last updated
04/26/2010
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