Organization
EASTON CARDIOVASCULAR ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA DEANGELES (CREDENTIALING COORDINATOR)
(610) 973-1410
Entity
Organization
Contact information
Practice address
175 S 21ST ST, EASTON, PA 18042-3835
(610) 442-2082
Mailing address
2001 FAIRVIEW AVE, EASTON, PA 18042-3915
(610) 258-4337
(610) 258-8502
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119129
HIGHMARK PA
PA
01
—
1404850
HIGHMARK--NEW JERSEY
NJ
05
—
1504209
—
PA
01
—
17258
AETNA US HEALTHCARE
PA
01
—
2402700
CAPITAL BLUE CROSS
PA
05
—
3501205
—
NJ
05
—
733485
—
PA
01
—
CF6140
PALMETTO RR PA
PA
Enumeration date
06/01/2005
Last updated
03/01/2019
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