Organization
CARDIOVASCULAR SPECIALISTS, INC.
Active
Other names
Portsmouth Cardiology, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
AMY M. CLARK CPC (BILLING MANAGER)
(757) 483-6420
Entity
Organization
Contact information
Practice address
3235 ACADEMY AVE, SUITE 201, PORTSMOUTH, VA 23703-3200
(757) 483-6420
(757) 638-4519
Mailing address
3235 ACADEMY AVE, SUITE 201, PORTSMOUTH, VA 23703-3200
(757) 483-6420
(757) 638-4519
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH0159
MEDICARE RAILROAD
VA
Enumeration date
07/20/2006
Last updated
03/11/2008
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