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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Clinical Cardiac Electrophysiology |
207RC0001X | 11 | Physician/Internal Medicine | |
Interventional Cardiology |
207RI0011X | 11 | Physician/Internal Medicine |
| NPI Number | 1730165242 |
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| LBN Legal business name | FORT WAYNE CARDIOLOGY CORPORATION | ||||
| Authorized official | POLLY BALOSKI - (BILLING MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 12/16/2005 | ||||
| Last updated | 10/07/2008 - About 18 years ago | ||||
| Identifiers |
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FORT WAYNE CARDIOLOGY CORPORATION
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FORT WAYNE CARDIOLOGY CORPORATION