Provider Demographics
NPI:1225360324
Name:REGIONAL CARDIOLOGY CONSULTANTS, PC
Entity Type:Organization
Organization Name:REGIONAL CARDIOLOGY CONSULTANTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-464-2200
Mailing Address - Street 1:6 NESHAMINY INTERPLEX
Mailing Address - Street 2:SUITE 215
Mailing Address - City:TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-6964
Mailing Address - Country:US
Mailing Address - Phone:215-464-2200
Mailing Address - Fax:215-639-3605
Practice Address - Street 1:20 VALLEY ST
Practice Address - Street 2:SUITE 320
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079-2887
Practice Address - Country:US
Practice Address - Phone:215-464-2200
Practice Address - Fax:215-639-3605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-01
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003794L207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ184099Medicare PIN