MEDICARE: CITRIN CARDIOLOGY 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
1	207RC0000X	Cardiovascular Disease Physician	18816	AL
2	207RI0011X	Interventional Cardiology Physician

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	:	1588109599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITRIN CARDIOLOGY PC

Provider Business Mailing Address
First Line	:	6701 AIRPORT BLVD
Second Line	:	SUITE C138
City	:	MOBILE
State	:	AL
Zip	:	36608-3784
Country	:	US
Telephone Number	:	251-333-3333
Fax Number	:	251-410-4444

Provider Business Practice Location Address
First Line	:	6701 AIRPORT BLVD
Second Line	:	SUITE C138
City	:	MOBILE
State	:	AL
Zip	:	36608-3784
Country	:	US
Telephone Number	:	251-333-3333
Fax Number	:	251-410-4444

Authorized Official
Title or Position	:	OWNER / PRESIDENT
Name	:	BEN S CITRIN
Credential	:	MD
Telephone Number	:	251-333-3333

Provider Enumeration Date	:	12/29/2016
Last Update Date	:	06/17/2024

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Directions to “CITRIN CARDIOLOGY PC ” Practice Location

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