Provider Demographics
NPI:1710951082
Name:CV SURGICAL ASSOCIATES PA
Entity Type:Organization
Organization Name:CV SURGICAL ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-546-1353
Mailing Address - Street 1:201 PINE BLUFF ROAD
Mailing Address - Street 2:SUITE 25
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-7162
Mailing Address - Country:US
Mailing Address - Phone:410-546-1353
Mailing Address - Fax:410-543-8360
Practice Address - Street 1:201 PINE BLUFF ROAD
Practice Address - Street 2:SUITE 25
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-7162
Practice Address - Country:US
Practice Address - Phone:410-546-1353
Practice Address - Fax:410-543-8360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty
Not Answered208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
K862Medicare ID - Type Unspecified