Organization
CARDIO VASCULAR THORACIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO MATOS-CRUZ MD (OWNER)
(812) 886-4383
Entity
Organization
Contact information
Practice address
520 S 7TH ST, GOOD SAMARITIAN HOSPITAL, VINCENNES, IN 47591-1038
(812) 885-3243
(812) 885-3915
Mailing address
PO BOX 1823, VINCENNES, IN 47591-7823
(812) 886-4383
(812) 886-4385
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
01045697
IN
Other
Enumeration date
11/18/2005
Last updated
08/22/2020
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