Organization
CARDIOLOGY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J CZAJKA M.D. (PRESIDENT)
(937) 335-3518
Entity
Organization
Contact information
Practice address
3006 N COUNTY ROAD 25A, STE 104, TROY, OH 45373-1373
(937) 335-3518
(937) 335-1231
Mailing address
3006 N COUNTY ROAD 25A, STE 104, TROY, OH 45373-1373
(937) 335-3518
(937) 335-1231
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010016
ANTHEM PIN
OH
01
—
021213700
BLACK LUNG
OH
05
—
0885412
—
OH
01
—
5315621
AETNA
OH
Enumeration date
07/07/2006
Last updated
06/04/2010
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