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NPI 1124189519

NPI 1124189519 : BUCKS COUNTY CARDIOTHORACIC SURGERY, P.C. : HADDON HEIGHTS, NJ

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General NPI Number Information
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    NPI Number           |    1124189519
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    Entity Type          |    Organization 
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    Legal Business Name  |    BUCKS COUNTY CARDIOTHORACIC SURGERY, P.C. 
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Dates
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    Enumeration Date     |    12/12/2006
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    Last Update Date     |    07/06/2010
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Provider Practice Location Address
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    Address Line         |    120 WHITE HORSE PIKE STE 103 
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    City                 |    HADDON HEIGHTS
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    State                |    NJ
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    Zip                  |    08035-1938
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    Country              |    US
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    Telephone            |    267-483-5490
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    Fax                  |    267-483-5504
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Provider Business Mailing Address
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    Address Line         |    2370 YORK RD STE A9D 
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    City                 |    JAMISON
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    State                |    PA
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    Zip                  |    18929-1031
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    Country              |    US
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    Telephone            |    267-483-5490
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    Fax                  |    267-483-5496
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Authorized Official
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    Title or Position    |    ADMINISTRATIVE ASSISTANT
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    Name                 |     SUSAN  SLACK 
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    Credential           |    
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    Telephone            |    267-483-5490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    
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    License Number State |    
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