Organization
SAINT VINCENT CONSULTANTS IN CARDIOVASCULAR DISEASES
Active
Parent organization
CLINICAL SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLINICAL SERVICES, INC.
Authorized official
MARK R IZZO MD (BOARD PRESIDENT)
(814) 453-7767
Entity
Organization
Contact information
Practice address
2315 MYRTLE ST STE 190, ERIE, PA 16502-4604
(814) 453-7767
(814) 454-6667
Mailing address
2315 MYRTLE ST, SUITE 190, ERIE, PA 16502-4604
(814) 453-7767
(814) 454-6667
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025548150001
—
PA
Enumeration date
09/24/2010
Last updated
09/30/2020
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