Organization
CENTRAL PA CARDIOLOGY, LLC
Active
Other names
Central PA Physicians Group
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE BARANIK (PRACTICE MANAGER)
(814) 201-2309
Entity
Organization
Contact information
Practice address
914 SOUTH 12TH STREET, ALTOONA, PA 16602-6527
(814) 201-2309
(814) 201-2389
Mailing address
914 SOUTH 12TH STREET, ALTOONA, PA 16602-6527
(814) 201-2309
(814) 201-2389
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
PA
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015090710009
—
PA
Enumeration date
11/24/2009
Last updated
08/03/2021
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