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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, P.C.

NPI Number 1699834705
LBN Legal business name NEW LIFE CARDIOVASCULAR CARE, P.C.
Authorized official MICHAEL MILBOURNE - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/06/2006
Last updated 05/16/2024 - About 2 years ago
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
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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