Healthcare Provider Details

I. General information

NPI: 1649291337
Provider Name (Legal Business Name): CARDIOLOGY ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 04/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 MEDICAL PKWY STE 520
ANNAPOLIS MD
21401-3046
US

IV. Provider business mailing address

106 IRVING ST NW STE 2700N
WASHINGTON DC
20010-2927
US

V. Phone/Fax

Practice location:
  • Phone: 410-571-8430
  • Fax: 410-573-5981
Mailing address:
  • Phone: 202-723-5524
  • Fax: 202-291-0512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MRS. MICHELE F FRYMOYER
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 202-723-5524