Organization
CONCIERGE CARDIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ROSENBLUM DO (CEO)
(219) 929-7900
Entity
Organization
Contact information
Practice address
824 LINCOLNWAY, LOFT #2, LA PORTE, IN 46350-3411
(219) 380-5724
(219) 575-7345
Mailing address
1608 LINCOLNWAY, SUITE G, VALPARAISO, IN 46383-5856
(219) 476-0352
(219) 531-0859
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
02001043A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201117450A
—
IN
Enumeration date
10/12/2012
Last updated
01/29/2013
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