Healthcare Provider Details
I. General information
NPI: 1588758379
Provider Name (Legal Business Name): WESTMORELAND COUNTY CARDIOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/03/2006
Last Update Date: 10/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
44 S WASHINGTON AVE
GREENSBURG PA
15601-2768
US
IV. Provider business mailing address
44 S WASHINGTON AVE
GREENSBURG PA
15601-2768
US
V. Phone/Fax
- Phone: 724-836-1862
- Fax: 724-836-7477
- Phone: 724-836-1862
- Fax: 724-836-7477
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0001X |
| Taxonomy | Clinical Cardiac Electrophysiology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RI0011X |
| Taxonomy | Interventional Cardiology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
KAREN
M
PIAZZA
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 724-836-1862