Provider Demographics
NPI:1740678135
Name:POST-ACUTE CARDIOLOGY CARE LLC
Entity type:Organization
Organization Name:POST-ACUTE CARDIOLOGY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ORR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-202-1636
Mailing Address - Street 1:30 OLD KINGS HWY S STE 160
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-4519
Mailing Address - Country:US
Mailing Address - Phone:203-202-1635
Mailing Address - Fax:
Practice Address - Street 1:30 OLD KINGS HWY S STE 160
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-4519
Practice Address - Country:US
Practice Address - Phone:203-202-1636
Practice Address - Fax:508-230-9772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-07
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty