Provider Demographics
NPI:1467614677
Name:HEART CARE CONSULTANTS, LLC
Entity Type:Organization
Organization Name:HEART CARE CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HAYTHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBIZEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:267-252-6408
Mailing Address - Street 1:668 STONY HILL RD
Mailing Address - Street 2:SUITE 127
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-4497
Mailing Address - Country:US
Mailing Address - Phone:267-252-6408
Mailing Address - Fax:215-310-9692
Practice Address - Street 1:501 S 54TH ST
Practice Address - Street 2:SUITE 228
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19143-1900
Practice Address - Country:US
Practice Address - Phone:215-747-4511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-29
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD0463441174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1467442285OtherNPI