Organization
CARDIOLOGY MEDICAL ASSOCIATES PC
Active
Other names
Cardiology Medical Associates PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD LANE DEVAUGHN M.D. (PRESIDENT CEO)
(215) 471-1817
Entity
Organization
Contact information
Practice address
5249 CEDAR AVE, SUITE A, PHILADELPHIA, PA 19143-1524
(215) 471-1817
(215) 471-5089
Mailing address
5249 CEDAR AVE, SUITE A, PHILADELPHIA, PA 19143-1524
(215) 471-1817
(215) 471-5089
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD024220E
PA
Other
Enumeration date
08/16/2006
Last updated
08/22/2020
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