Organization
NORTH WAKE CARDIOVASCULAR CENTER PLLC
Active
Other names
Telecardiology Solutions LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK NEWMAN MD (PHYSICIAN/OWNER)
(410) 593-7015
Entity
Organization
Contact information
Practice address
3903 BRIAR KNOLL CIR, PHOENIX, MD 21131-2132
(410) 593-7015
Mailing address
3903 BRIAR KNOLL CIR, PHOENIX, MD 21131-2132
(410) 593-7015
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0075445
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2279698
PTAN
—
Enumeration date
01/05/2015
Last updated
04/13/2015
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