Organization
CITY LINE CARDIOLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVA PLACENTRA-SESSO D.O. (OWNER)
(610) 660-9895
Entity
Organization
Contact information
Practice address
301 E CITY LINE AVE, SUITE 240, BALA CYNWYD, PA 19004-1708
(610) 660-9895
(610) 660-9755
Mailing address
301 E CITY LINE AVE, SUITE 240, BALA CYNWYD, PA 19004-1708
(610) 660-9895
(610) 660-9755
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
OS005160L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010921320006
—
PA
01
—
0109213203
AMERICHOICE
PA
01
—
0459499000
INDEPENDENCE BLUE CROSS
PA
01
—
28356
HEALTH PARTNERS
PA
01
—
30291A
KEYSTONE MERCY
PA
01
—
698534
HIGHMARK BLUE SHIELD
PA
Enumeration date
06/04/2006
Last updated
08/20/2010
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