Organization
LAUREL CARDIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYRIL NATHANIEL M.D. (PHYSICIAN)
(814) 534-5042
Entity
Organization
Contact information
Practice address
1015 FRANKLIN ST, WESSEL BUILDING LEVEL D, JOHNSTOWN, PA 15905-4110
(814) 534-5042
(814) 534-5045
Mailing address
1015 FRANKLIN ST, WESSEL BUILDING LEVEL D, JOHNSTOWN, PA 15905-4110
(814) 534-5042
(814) 534-5045
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD058575L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015843160004
—
PA
Enumeration date
02/05/2007
Last updated
07/07/2010
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