Individual
COLIN FITZGERALD SLEMENDA
Active
Individual
COLIN FITZGERALD SLEMENDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
OS020182
PA
207RI0011X
Interventional Cardiology Physician
Primary
OS020182
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103241780
—
PA
01
—
1E0054
MEDICARE
PA
01
—
6507387
AETNA PIN
PA
Enumeration date
06/26/2013
Last updated
08/21/2024
Update your record
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