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General NPI Number Information
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NPI Number | 1568304285
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Entity Type | Organization
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Legal Business Name | MID-ATLANTIC HEART LLC
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 5225 WISCONSIN AVE NW STE 513
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City | WASHINGTON
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State | DC
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Zip | 20015-2024
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Country | US
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Telephone | 347-727-6500
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Fax | 646-952-7741
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Provider Business Mailing Address
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Address Line | 5225 WISCONSIN AVE NW STE 513
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City | WASHINGTON
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State | DC
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Zip | 20015-2024
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Country | US
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Telephone | 347-727-6500
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Fax | 646-952-7741
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | ANGELO J. NATOLI
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Credential |
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Telephone | 347-727-6500
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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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