MEDICARE: FRANKLIN CARDIOVASCULAR ASSOCIATES, PA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	207R00000X	Internal Medicine Physician	PA
2	207UN0901X	Nuclear Cardiology Physician	PA
3	207RC0000X	Cardiovascular Disease Physician	PA

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

General Provider Information

NPI Number	:	1295924504
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANKLIN CARDIOVASCULAR ASSOCIATES, PA

Provider Business Mailing Address
First Line	:	438 GANTTOWN ROAD
Second Line	:	SUITES B8-B9
City	:	SEWELL
State	:	NJ
Zip	:	08080-1887
Country	:	US
Telephone Number	:	856-589-6034
Fax Number	:	856-589-6036

Provider Business Practice Location Address
First Line	:	2300 S BROAD ST STE 201
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145
Country	:	US
Telephone Number	:	856-589-6034
Fax Number	:	215-689-1912

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	NICHOLAS L. DEPACE
Credential	:	MD
Telephone Number	:	856-585-6034

Provider Enumeration Date	:	10/23/2007
Last Update Date	:	07/17/2018

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Directions to “FRANKLIN CARDIOVASCULAR ASSOCIATES, PA ” Practice Location

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