Organization
CENTRAL PENNSYLVANIA CARDIOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E HEID MD (PRESIDENT PARTNER)
(570) 524-4211
Entity
Organization
Contact information
Practice address
131 JPM RD, LEWISBURG, PA 17837-9309
(570) 524-4211
(570) 524-4255
Mailing address
131 JPM RD, LEWISBURG, PA 17837-9309
(570) 524-4211
(570) 524-4255
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD011806E
PA
207RC0000X
Cardiovascular Disease Physician
MD027347E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006601640002
—
PA
05
—
0010510310003
—
PA
Enumeration date
07/09/2006
Last updated
08/22/2020
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