Organization
CARDIAC CARE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS SAGALOVSKY M.D. (PRESIDENT)
(219) 662-0077
Entity
Organization
Contact information
Practice address
1205 S MAIN ST, SUITE 101, CROWN POINT, IN 46307-3677
(219) 662-0077
(219) 661-2155
Mailing address
1205 S MAIN ST, SUITE 101, CROWN POINT, IN 46307-3677
(219) 662-0077
(219) 661-2155
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100214840A
—
IN
Enumeration date
11/03/2006
Last updated
10/20/2011
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