Organization · NPI-2

Advanced Cardiac Care LLC

Internal Medicine, Interventional Cardiology · Bethlehem, PA

NPI number1720050941

StatusActive

Last updated in NPPESApr 21, 2011

Details

NPI: 1720050941
Entity type: Organization (NPI-2)
Legal business name: Advanced Cardiac Care LLC
Organization subpart: No
Enumeration date: Feb 2, 2006
Last updated: Apr 21, 2011

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RI0011X	Internal Medicine, Interventional Cardiology	–	–	Yes
207RC0000X	Internal Medicine, Cardiovascular Disease	–	–
207UN0901X	Nuclear Medicine, Nuclear Cardiology	–	–

Practice location

3445 High Point Blvd
Suite 300
Bethlehem, PA 18017-7814

Phone 610-954-5490 · Fax 610-954-5427

Mailing address

3445 High Point Blvd
Suite 300
Bethlehem, PA 18017-7814

Phone 610-954-5490 · Fax 610-954-5427

Authorized official

Luis Tejada
Co Owner
6109545490

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