Provider Demographics
NPI:1770728024
Name:UNIVERSITY CARDIOVASCULAR SURGICAL ASSOCIATES INC
Entity type:Organization
Organization Name:UNIVERSITY CARDIOVASCULAR SURGICAL ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:W
Authorized Official - Last Name:SELLKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-274-7546
Mailing Address - Street 1:75 NEWMAN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:RUMFORD
Mailing Address - State:RI
Mailing Address - Zip Code:02916-3603
Mailing Address - Country:US
Mailing Address - Phone:401-854-2465
Mailing Address - Fax:401-435-7019
Practice Address - Street 1:2 DUDLEY ST STE 360
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-3248
Practice Address - Country:US
Practice Address - Phone:401-274-7546
Practice Address - Fax:401-274-7910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-15
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty