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Contact Information

PEDIATRIC CARDIOLOGY ASSOC PA
71 US ROUTE 1
SUITE C
SCARBOROUGH, ME04074-7173
 Phone: 207-883-5532
 Fax: 207-883-5552
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC CARDIOLOGY ASSOC PA

NPI # 1346311925
LBN Legal business name PEDIATRIC CARDIOLOGY ASSOC PA
Authorized official JON DONNELLY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/13/2006
Last updated 08/28/2017 - About 9 years ago
Identifiers
ME License # 014324
ME Medicaid 112590000
NH Medicaid 30004962
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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