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NPI Code Detail

MEDICARE: ADVANCED CARDIOLOGY ASSOCIATES, PC

MEDICARE: ADVANCED CARDIOLOGY ASSOCIATES, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0404XCardiac Rehabilitation Clinic/Center
2207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1093351009
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED CARDIOLOGY ASSOCIATES, PC
Provider Business Mailing Address
First Line : 645 BARCLAY CIR
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-5804
Country : US
Telephone Number : 248-844-1010
Fax Number : 248-844-9089
Provider Business Practice Location Address
First Line : 645 BARCLAY CIR
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-5804
Country : US
Telephone Number : 248-844-1010
Fax Number : 248-844-9089
Authorized Official
Title or Position : PRACTICE MANAGER
Name : JUDY L HARDER
Credential :
Telephone Number : 248-844-1010
Provider Enumeration Date : 11/25/2019
Last Update Date : 03/05/2026

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Directions to “ADVANCED CARDIOLOGY ASSOCIATES, PC ” Practice Location

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