Organization
NORTH WAKE CARDIOVASCULAR CENTER PLLC
Active
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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