Provider Demographics
NPI:1174821136
Name:CARDIOLOGY CONSULTANTS OF PHILADELPHIA,PC
Entity Type:Organization
Organization Name:CARDIOLOGY CONSULTANTS OF PHILADELPHIA,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/CARDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:FUREY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-321-7400
Mailing Address - Street 1:207 N BROAD ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-1500
Mailing Address - Country:US
Mailing Address - Phone:215-463-5333
Mailing Address - Fax:215-463-3820
Practice Address - Street 1:100 GREEN LANE
Practice Address - Street 2:SUITE 3
Practice Address - City:BRISTOL
Practice Address - State:PA
Practice Address - Zip Code:19007
Practice Address - Country:US
Practice Address - Phone:215-788-2011
Practice Address - Fax:215-781-1975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS004249L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA119255GT6Medicare PIN
PAMA001109179 004Medicare UPIN