Organization
NORTHWEST REGIONAL CARDIOLOGY,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELISE BOYD R.N. (OFFICE MANAGER)
(724) 657-3204
Entity
Organization
Contact information
Practice address
2602 WILMINGTON RD, SUITE 200, NEW CASTLE, PA 16105-1537
(724) 657-3204
(724) 652-7144
Mailing address
2602 WILMINGTON RD, SUITE 200, NEW CASTLE, PA 16105-1537
(724) 657-3204
(724) 652-7144
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01806666
—
PA
01
—
191076
BLUE CROSS BLUE SHIELD
PA
Enumeration date
04/20/2006
Last updated
08/22/2020
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