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Organization

BN NORTHEAST CARDIAC CENTER LLC

Active
Other names
Northeast Cardiovascular Center
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK JOHN SHEA M.D. (MEDICAL DIRECTOR)
(513) 865-5120
Entity
Organization

Contact information

Practice address
10506 MONTGOMERY ROAD, SUITE G 103, CINCINNATI, OH 45242-4487
(513) 865-5120
(513) 865-5121
Mailing address
10506 MONTGOMERY ROAD, SUITE G 103, CINCINNATI, OH 45242-4487
(513) 865-5120
(513) 865-5121

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
HCF #1156 IC
OH
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
04/05/2006
Last updated
01/17/2012
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