Organization
CARDIAC DIAGNOSTIC ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY F WILKINSON (CREDENTIALING SUPERVISOR)
(717) 851-1405
Entity
Organization
Contact information
Practice address
25 MONUMENT RD, SUITE 200, YORK, PA 17403-5060
(717) 851-2441
(717) 812-4867
Mailing address
25 MONUMENT RD, SUITE 200, YORK, PA 17403-5060
(717) 851-2441
(717) 812-4867
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000696434
—
PA
01
—
1041805
GATEWAY
PA
01
—
110376
HIGHMARK BLUE SHIELD
PA
01
—
20009633
AMERIHEALTH MERCY
PA
01
—
2364800
CAPITAL BLUE CROSS
PA
01
—
5438
GEISINGER
PA
01
—
59003
AETNA
PA
01
—
87055
UNISON
PA
01
—
CF7671
RAILROAD MEDICARE
PA
01
—
K776
CAREFIRST BLUE CROSS BLUE SHIELD
PA
Enumeration date
05/12/2006
Last updated
05/06/2010
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