Healthcare Provider Details

I. General information

NPI: 1407925175
Provider Name (Legal Business Name): CARDIOVASCULAR ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 12/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 BELMONT AVE
YOUNGSTOWN OH
44504-1003
US

IV. Provider business mailing address

1001 BELMONT AVE
YOUNGSTOWN OH
44504-1003
US

V. Phone/Fax

Practice location:
  • Phone: 330-747-6446
  • Fax: 330-747-6843
Mailing address:
  • Phone: 330-747-6446
  • Fax: 330-747-6843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: PAUL A WRIGHT
Title or Position: PRESIDENT
Credential: M.D.
Phone: 330-747-6446