Organization
ADVANCED CARDIOLOGY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NITIN MALLA (MANAGER)
(337) 250-4647
Entity
Organization
Contact information
Practice address
1113 E NORTHERN AVE, STE C, CROWLEY, LA 70526-3035
(337) 250-4647
(337) 205-7979
Mailing address
1113 E NORTHERN AVE, STE C, CROWLEY, LA 70526-3035
(337) 250-4647
(337) 205-7979
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
04/18/2012
Last updated
04/25/2012
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