Healthcare Provider Details

I. General information

NPI: 1578580502
Provider Name (Legal Business Name): CARDIOLOGY ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 04/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4175 N HANSON CT STE 100
BOWIE MD
20716-3179
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 301-809-6880
  • Fax: 301-805-4233
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