Provider Demographics
NPI:1518126986
Name:CARDIOVASCULAR HEALTHCARE CONSULTANTS, PC
Entity type:Organization
Organization Name:CARDIOVASCULAR HEALTHCARE CONSULTANTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAPORTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-647-4260
Mailing Address - Street 1:PO BOX 686
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-0686
Mailing Address - Country:US
Mailing Address - Phone:610-647-4260
Mailing Address - Fax:
Practice Address - Street 1:255 W LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1763
Practice Address - Country:US
Practice Address - Phone:610-647-4260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARDIOVASCULAR HEALTHCARE CONSULTANTS, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA609928000OtherDEPT OF LABOR
PA0026188000OtherAMERIHEALTH
PALA631923OtherBLUE SHIELD
PA0026188000OtherINDEPENDENCE BLUE CROSS
PA0026188000OtherINDEPENDENCE BLUE CROSS