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Organization

SOUTHEAST CARDIOLOGY ASSOCIATES, P.C.

Active
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Organization

SOUTHEAST CARDIOLOGY ASSOCIATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHERI A BANKERT R.N. (OFFICE MANAGER)
(508) 828-1542
Entity
Organization

Contact information

Practice address
72 WASHINGTON ST, SUITE 1400, TAUNTON, MA 02780-2491
(508) 880-0077
(508) 880-5247
Mailing address
72 WASHINGTON ST, SUITE 1400, TAUNTON, MA 02780-2491
(508) 880-0077
(508) 880-5247

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0013346
NEIGHBORHOOD HEALTH
MA
01
717471
TUFTS GROUP NO
MA
05
9753974
MA
01
CL4606
RAILROAD MEDICARE
MA
01
SOM14400
BCBS MA GROUP NUMBER
MD
Enumeration date
07/30/2006
Last updated
08/22/2020
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