Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant | |
Thoracic Surgery (Cardiothoracic Vascular Surgery) |
208G00000X | 02 | Physician/General Surgery | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease |
| NPI Number | 1447202726 |
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| LBN Legal business name | CARDIOVASCULAR & CHEST SURGICAL ASSOCIATES, PA | ||||||||||||||||
| Authorized official | DONETTA HESGARD - (ADMINISTRATOR) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 05/16/2006 | ||||||||||||||||
| Last updated | 09/11/2025 - About 9 months ago | ||||||||||||||||
| Identifiers |
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