Healthcare Provider Details

I. General information

NPI: 1518126986
Provider Name (Legal Business Name): CARDIOVASCULAR HEALTHCARE CONSULTANTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2008
Last Update Date: 06/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 W LANCASTER AVE
PAOLI PA
19301-1763
US

IV. Provider business mailing address

PO BOX 686
PAOLI PA
19301-0686
US

V. Phone/Fax

Practice location:
  • Phone: 610-647-4260
  • Fax:
Mailing address:
  • Phone: 610-647-4260
  • Fax:

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: STEVEN M LAPORTE
Title or Position: PRESIDENT
Credential: MD
Phone: 610-647-4260