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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