Organization
CARDIOLOGY ASSOCIATES OF ALTOONA, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH W GATTUSO JR. M.D. (PARTNER)
(814) 942-2411
Entity
Organization
Contact information
Practice address
1321 11TH AVE, ALTOONA, PA 16601-3301
(814) 942-2411
(814) 942-0510
Mailing address
1321 11TH AVE, ALTOONA, PA 16601-3301
(814) 942-2411
(814) 942-0510
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD038504E
PA
207RC0000X
Cardiovascular Disease Physician
MD053122L
PA
207RC0000X
Cardiovascular Disease Physician
MD059785L
PA
207UN0901X
Nuclear Cardiology Physician
MD059785L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007536040005
—
PA
01
—
1020383
GATEWAY
PA
01
—
54485
BCBS
PA
01
—
CJ2422
PALMETTO GBA
PA
Enumeration date
06/15/2006
Last updated
09/16/2008
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