MYSTIC CARDIOLOGY ASSOCIATES INC NPI 1124093224

NPI Information

NPI: 1124093224
Provider Name: MYSTIC CARDIOLOGY ASSOCIATES INC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
137 MAIN ST
MEDFORD, MA
ZIP 02155
Phone: (781) 395-4909
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MYSTIC CARDIOLOGY ASSOCIATES INC is a cardiovascular disease internal medicine in Medford, MA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MYSTIC CARDIOLOGY ASSOCIATES INC NPI is 1124093224. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

137 MAIN ST
MEDFORD, MA
ZIP 02155-522
Phone: (781) 395-4909
Fax: (781) 395-5081

The provider's authorized official is David S Pladziewicz .
The authorized official title is President and has the following contact phone number (781) 395-4909.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 5/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease		MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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