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NPI 1336349554

NPI 1336349554 : CARDIAC SURGERY ASSOCIATES, P.A. : REISTERSTOWN, MD

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General NPI Number Information
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    NPI Number           |    1336349554
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    Entity Type          |    Organization 
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    Legal Business Name  |    CARDIAC SURGERY ASSOCIATES, P.A. 
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Dates
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    Enumeration Date     |    07/25/2007
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    Last Update Date     |    09/09/2013
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Provider Practice Location Address
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    Address Line         |    3328 BUTLER RD 
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    City                 |    REISTERSTOWN
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    State                |    MD
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    Zip                  |    21136-3855
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    Country              |    US
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    Telephone            |    410-429-5336
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    Fax                  |    410-429-5336
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Provider Business Mailing Address
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    Address Line         |    3328 BUTLER RD 
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    City                 |    REISTERSTOWN
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    State                |    MD
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    Zip                  |    21136-3855
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    Country              |    US
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    Telephone            |    410-429-5336
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    Fax                  |    410-429-5336
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     PETER J HORNEFFER 
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    Credential           |    M.D.
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    Telephone            |    410-429-5336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208G00000X
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    Taxonomy Name        |    Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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    License Number       |    
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    License Number State |    
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