CARDIO THORACIC VASCULAR SURGERY INC, Specialist SPRINGFIELD, MA

Contact Information

CARDIO - THORACIC & VASCULAR SURGERY INC

2 MEDICAL CENTER DR SUITE 104
SPRINGFIELD, MA 01107

Phone: 413-737-4715
Fax: 413-737-4875
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Specialist	174400000X

Indicates primary specialty

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NPI Profile & details for CARDIO THORACIC VASCULAR SURGERY INC · (Female)

NPI Number	`1689875288`
Status	Active
Credentials
Entity	Individual
Enumeration date	05/30/2007
Last updated	02/27/2009 - About 17 years ago
Sole proprietor ¹	Not specified
Identifiers	MA License # 36381 MA Medicaid 2017857 MA Medicaid 9731571
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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