Provider Demographics
NPI:1922061720
Name:VALLEY CARDIOLOGY ASSOCIATES INC
Entity Type:Organization
Organization Name:VALLEY CARDIOLOGY ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:P
Authorized Official - Last Name:SCOBLIONKO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-861-0377
Mailing Address - Street 1:701 OSTRUM ST
Mailing Address - Street 2:SUITE 502
Mailing Address - City:FOUNTAIN HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1155
Mailing Address - Country:US
Mailing Address - Phone:610-861-0377
Mailing Address - Fax:610-861-7358
Practice Address - Street 1:701 OSTRUM ST
Practice Address - Street 2:SUITE 502
Practice Address - City:FOUNTAIN HILL
Practice Address - State:PA
Practice Address - Zip Code:18015-1155
Practice Address - Country:US
Practice Address - Phone:610-861-0377
Practice Address - Fax:610-861-7358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA151666Medicare ID - Type Unspecified