Organization
CARDIOVASCULAR CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAY MCCONNELL (BILLING MANAGER)
(440) 882-2040
Entity
Organization
Contact information
Practice address
6525 POWERS BLVD, SUITE 301, PARMA, OH 44129-5461
(440) 882-0075
(440) 882-2092
Mailing address
6525 POWERS BLVD, SUITE 301, PARMA, OH 44129-5461
(440) 882-0075
(440) 882-2092
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0197808
—
OH
01
—
CA2908
RAILROAD MEDICARE GROUP
OH
01
—
CN3736
RAILROAD MEDICARE GROUP #
OH
Enumeration date
06/11/2006
Last updated
11/10/2020
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