Organization
CLINICAL CARDIOLOGY SPECIALISTS, INC
Active
Other names
Clinical Cardiovascular Specialists, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE COLLIER-CRESPIN (PRACTICE ADMINISTRATON)
(614) 459-7676
Entity
Organization
Contact information
Practice address
551 W CENTRAL AVE, SUITE 204, DELAWARE, OH 43015-1493
(740) 368-5077
(740) 368-5041
Mailing address
551 W CENTRAL AVE, SUITE 204, DELAWARE, OH 43015-1493
(740) 368-5077
(740) 368-5041
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2330801
—
OH
01
—
CM1574
RAILROAD MEDICARE
OH
Enumeration date
10/15/2007
Last updated
11/09/2007
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