Provider Demographics
NPI:1740598085
Name:NORTHEAST CARDIOVASCULAR ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:NORTHEAST CARDIOVASCULAR ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PIERRE
Authorized Official - Middle Name:H
Authorized Official - Last Name:CHAHRABAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-989-9811
Mailing Address - Street 1:25 MARSTON ST
Mailing Address - Street 2:SUITE 404
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01841-2310
Mailing Address - Country:US
Mailing Address - Phone:978-989-9811
Mailing Address - Fax:978-989-0748
Practice Address - Street 1:60 EAST ST
Practice Address - Street 2:SUITE 2100
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-4500
Practice Address - Country:US
Practice Address - Phone:978-989-9811
Practice Address - Fax:978-989-0748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-21
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty