Provider Demographics
NPI:1346382199
Name:ADVANCED CARDIOVASCULAR HEALTH SPECIALISTS, P.C.
Entity Type:Organization
Organization Name:ADVANCED CARDIOVASCULAR HEALTH SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:GRODMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:734-464-3251
Mailing Address - Street 1:37799 PROFESSIONAL CENTER DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-1153
Mailing Address - Country:US
Mailing Address - Phone:734-464-3251
Mailing Address - Fax:734-464-3336
Practice Address - Street 1:37799 PROFESSIONAL CENTER DR
Practice Address - Street 2:SUITE 105
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-1153
Practice Address - Country:US
Practice Address - Phone:734-464-3251
Practice Address - Fax:734-464-3336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty