CARDIO - THORACIC & VASCULAR SURGERY INC; NPI #1689875288

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

NPI Number 1689875288

LBN Legal business name CARDIO - THORACIC & VASCULAR SURGERY INC

Authorized official MARK SHERMAN - (DOCTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/30/2007

Last updated 02/27/2009 - About 17 years ago

Identifiers

MA	License #	36381
MA	Medicaid	2017857
MA	Medicaid	9731571

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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