Organization
ADVANCED CARDIAC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS TEJADA (CO OWNER)
(610) 954-5490
Entity
Organization
Contact information
Practice address
3445 HIGH POINT BLVD, SUITE 300, BETHLEHEM, PA 18017-7814
(610) 954-5490
(610) 954-5427
Mailing address
3445 HIGH POINT BLVD, SUITE 300, BETHLEHEM, PA 18017-7814
(610) 954-5490
(610) 954-5427
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
Other
Enumeration date
02/02/2006
Last updated
04/21/2011
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