Provider Demographics
NPI:1487743514
Name:CARDIOLOGY ASSOCIATES, INC
Entity type:Organization
Organization Name:CARDIOLOGY ASSOCIATES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MELI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-663-1188
Mailing Address - Street 1:401 TOWNSHIP LINE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-2202
Mailing Address - Country:US
Mailing Address - Phone:215-663-1188
Mailing Address - Fax:215-663-5898
Practice Address - Street 1:401 TOWNSHIP LINE RD
Practice Address - Street 2:SUITE A
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-2202
Practice Address - Country:US
Practice Address - Phone:215-663-1188
Practice Address - Fax:215-663-5898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006411400003Medicaid
138956Medicare ID - Type Unspecified