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Organization

INDIANA HEART HOSPITAL LLC

Active
Other names
Community Cardiology
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS MALASTO (CEO)
(317) 621-8050
Entity
Organization

Contact information

Practice address
2209 JOHN R WOODEN DR, MARTINSVILLE, IN 46151-1840
(765) 349-6710
Mailing address
2209 JOHN R WOODEN DR, MARTINSVILLE, IN 46151-1840
(765) 349-6710

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200539450A
IN
Enumeration date
06/17/2008
Last updated
06/23/2008
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