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ATLANTIC CARDIOLOGY ASSOCIATES PA NPI 1386704492


NPI Information

NPI: 1386704492
Provider Name: ATLANTIC CARDIOLOGY ASSOCIATES PA
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 21D1020705

Address:
1205 PEMBERTON DR STE 105
SALISBURY, MD
ZIP 21801
Phone: (410) 341-0300
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ATLANTIC CARDIOLOGY ASSOCIATES PA is a cardiovascular disease internal medicine in Salisbury, MD. 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. ATLANTIC CARDIOLOGY ASSOCIATES PA NPI is 1386704492. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1205 PEMBERTON DR STE 105
SALISBURY, MD
ZIP 21801-483
Phone: (410) 341-0300
Fax: (410) 341-0030

The provider's authorized official is Anthony Jay Frey .
The authorized official title is Physician and has the following contact phone number (410) 341-0030.

The CLIA number assigned to this NPI record is 21D1020705 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 10/7/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseD0053394MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1824MMEDICARE PIN
2G61735MEDICARE UPIN

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: 11/14/2023

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