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Contact Information

NEW LIFE CARDIOVASCULAR CARE, P.C.
805 E WILLOW GROVE AVE STE 1C
GLENSIDE, PA19038-7968
 Phone: 215-870-4144
 Fax: 215-793-4488
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Medical Specialty

261QM2500X
 

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for NEW LIFE CARDIOVASCULAR CARE PC · (Female)

NPI Number 1699834705
Status Active
Credentials
Entity Individual
Enumeration date 12/06/2006
Last updated 05/16/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # MD050825L
  • PA Other 7176947 AETNA
  • PA Other 2793777000 AMERIHEALTH
  • PA Other 4206 BRAVO
  • PA Other 001924524 BSPA
  • PA Other 7185016 CIGNA
  • PA Other 2793777000 KEYSTONE HEALTH PLAN EAST (IBC)
  • PA Other 30036888 KEYSTONE MERCY
  • PA Other 2793777000 PERSONAL CHOICE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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