Provider Demographics
NPI:1770638942
Name:CARDIOVASCULAR MANAGEMENT SYSTEMS INC.
Entity Type:Organization
Organization Name:CARDIOVASCULAR MANAGEMENT SYSTEMS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:CONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-424-3045
Mailing Address - Street 1:23 CANDLEWYCK WAY
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-1226
Mailing Address - Country:US
Mailing Address - Phone:856-424-3045
Mailing Address - Fax:856-424-6084
Practice Address - Street 1:50 TOWNSHIP LINE RD
Practice Address - Street 2:SUITE 222, DR GUTOWICZ
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-2249
Practice Address - Country:US
Practice Address - Phone:215-663-9117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA021243Medicare ID - Type Unspecified