Organization
CAMBRIDGE CARDIOVASCULAR ULTRASOUND, INC
Active
Organization
CAMBRIDGE CARDIOVASCULAR ULTRASOUND, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDAN CARROLL (TREASURER)
(781) 820-0506
Entity
Organization
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(781) 820-0506
(781) 826-0054
Mailing address
174 E EMERSON ST, MELROSE, MA 02176-3535
(781) 820-0506
(781) 826-0054
Taxonomy
Speciality
Code
Description
License number
State
246W00000X
Cardiology Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040469
BLUE CROSS BLUE SHIELD
MA
01
—
3400039
UNITED HEALTHCARE
MA
Enumeration date
03/05/2007
Last updated
05/12/2020
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