Healthcare Provider Details

I. General information

NPI: 1598780181
Provider Name (Legal Business Name): ALL COUNTY CARDIOLOGY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 BESSEMER RD EXECUTIVE BUILDING SUITE 201
MOUNT PLEASANT PA
15666-9122
US

IV. Provider business mailing address

220 BESSEMER RD EXECUTIVE BUILDING SUITE 201
MOUNT PLEASANT PA
15666-9122
US

V. Phone/Fax

Practice location:
  • Phone: 724-547-3858
  • Fax: 724-547-0737
Mailing address:
  • Phone: 724-547-3858
  • Fax: 724-547-0737

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: DR. ALAN ELLIS OLIVENSTEIN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 724-547-3858