MEDICARE: ASSOCIATED CARDIOLOGISTS, P.C.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	207RC0001X	Clinical Cardiac Electrophysiology Physician	PA
2	207RI0011X	Interventional Cardiology Physician	PA
3	207RC0000X	Cardiovascular Disease Physician	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CF4502	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265436679
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATED CARDIOLOGISTS, P.C.

Provider Business Mailing Address
First Line	:	2808 OLD POST RD
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17110-3670
Country	:	US
Telephone Number	:	717-920-4400
Fax Number	:	717-920-4401

Provider Business Practice Location Address
First Line	:	2808 OLD POST RD
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17110-3670
Country	:	US
Telephone Number	:	717-920-4400
Fax Number	:	717-920-4401

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. ALLEN R. GLOTFELTY
Credential	:	M.B.A.
Telephone Number	:	717-920-4456

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	07/21/2022

Similar Medicare Providers

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Practice Location Address:

2808 OLD POST RD
HARRISBURG, PA
17110-3670

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Practice Fax: 717-920-4401

1316940455 — DR. IRA SACKMAN M.D.
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HARRISBURG, PA
17110-3670

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1063569036 — OPTOMETRY ASSOCIATES, P.C.
Practice Location Address:

4392 STURBRIDGE DRIVE
HARRISBURG, PA
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1639029051 — ANTHONY CHRISTOPHER NAND RN
Practice Location Address:

620 GLENBROOK DR
HARRISBURG, PA
17110-4022

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Practice Fax: 908-337-3781

1447253612 — DR. MICHAEL DENNIS BOSAK MD
Practice Location Address:

2808 OLD POST ROAD
HARRISBURG, PA
17110-3685

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Practice Fax: 717-920-4553

1811990054 — DR. JEFFREY STEPHEN FUGATE DO
Practice Location Address:

2808 OLD POST ROAD
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17110-3685

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Practice Fax: 717-920-4401

Directions to “ASSOCIATED CARDIOLOGISTS, P.C. ” Practice Location

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