Organization
CARDIOLOGY INTERNISTS OF LEOMINSTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS M MERCADANTE MD (PRESIDENT)
(978) 534-3179
Entity
Organization
Contact information
Practice address
100 HOSPITAL RD, SUITE 3B, LEOMINSTER, MA 01453-2253
(978) 534-3179
(978) 840-3161
Mailing address
100 HOSPITAL RD, SUITE 3B, LEOMINSTER, MA 01453-2253
(978) 534-3179
(978) 840-3161
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M14019
BLUE SHIELD
MA
Enumeration date
03/07/2013
Last updated
03/07/2013
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