MEDICARE: HEART & VASCULAR CARE CONSULTANTS LLC

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

General Provider Information

NPI Number	:	1992342349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART & VASCULAR CARE CONSULTANTS LLC

Provider Business Mailing Address
First Line	:	5600 CHESTNUT ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19139-3232
Country	:	US
Telephone Number	:	267-252-6408
Fax Number	:

Provider Business Practice Location Address
First Line	:	3379 QUAKERBRIDGE RD STE 201
Second Line	:
City	:	HAMILTON
State	:	NJ
Zip	:	08619-1269
Country	:	US
Telephone Number	:	267-252-6408
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HAYTHAM ALBIZEM
Credential	:	MD
Telephone Number	:	267-252-6408

Provider Enumeration Date	:	12/04/2019
Last Update Date	:	12/04/2019

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