Organization
FRANKLIN CARDIOVASCULAR ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS L. DEPACE MD (AUTHORIZED OFFICIAL)
(856) 585-6034
Entity
Organization
Contact information
Practice address
2300 S BROAD ST STE 201, PHILADELPHIA, PA 19145
(856) 589-6034
(215) 689-1912
Mailing address
438 GANTTOWN ROAD, SUITES B8-B9, SEWELL, NJ 08080-1887
(856) 589-6034
(856) 589-6036
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
PA
207RC0000X
Cardiovascular Disease Physician
Primary
—
PA
207UN0901X
Nuclear Cardiology Physician
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007203462-0004
—
PA
Enumeration date
10/23/2007
Last updated
07/17/2018
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