Provider Demographics
NPI:1750565842
Name:HEART RHYTHM SPECIALISTS OF CENTRAL MASSACHUSETTS, PC
Entity type:Organization
Organization Name:HEART RHYTHM SPECIALISTS OF CENTRAL MASSACHUSETTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SANJEEV
Authorized Official - Middle Name:B
Authorized Official - Last Name:GOYAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-363-9052
Mailing Address - Street 1:PO BOX 3213
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01613-3213
Mailing Address - Country:US
Mailing Address - Phone:508-363-9052
Mailing Address - Fax:508-363-7104
Practice Address - Street 1:123 SUMMER ST
Practice Address - Street 2:SUITE 635
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1216
Practice Address - Country:US
Practice Address - Phone:508-363-9052
Practice Address - Fax:508-363-7104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-25
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA158828207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Single Specialty