Provider Demographics
NPI:1548019037
Name:CARDIOLOGY ASSOCIATES OF FREDERICKSBURG, LTD.
Entity type:Organization
Organization Name:CARDIOLOGY ASSOCIATES OF FREDERICKSBURG, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ATIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-373-1331
Mailing Address - Street 1:9530 COSNER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-7760
Mailing Address - Country:US
Mailing Address - Phone:540-373-1331
Mailing Address - Fax:
Practice Address - Street 1:9530 COSNER DR STE 200
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-7760
Practice Address - Country:US
Practice Address - Phone:540-373-1331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARDIOLOGY ASSOC OF FREDERICKSBURG LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC3500XNursing Service ProvidersRegistered NurseCardiac RehabilitationGroup - Multi-Specialty