MEDICARE: CARDIOVASCULAR MANAGEMENT SYSTEMS INC.

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	293D00000X	Physiological Laboratory

General Provider Information

NPI Number	:	1770638942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDIOVASCULAR MANAGEMENT SYSTEMS INC.

Provider Business Mailing Address
First Line	:	23 CANDLEWYCK WAY
Second Line	:
City	:	CHERRY HILL
State	:	NJ
Zip	:	08003-1226
Country	:	US
Telephone Number	:	856-424-3045
Fax Number	:	856-424-6084

Provider Business Practice Location Address
First Line	:	50 TOWNSHIP LINE RD
Second Line	:	SUITE 222, DR GUTOWICZ
City	:	ELKINS PARK
State	:	PA
Zip	:	19027-2249
Country	:	US
Telephone Number	:	215-663-9117
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. THOMAS CONA
Credential	:
Telephone Number	:	856-424-3045

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	01/10/2013

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