1801920145 NPI number — VASCULAR AND CARDIOTHORACIC ASSOCIATES OF MARYLAND PA

Table of content: MRS. CYNTHIA JOANNE VALDEZ SLPA (NPI 1629788096)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801920145 NPI number — VASCULAR AND CARDIOTHORACIC ASSOCIATES OF MARYLAND PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VASCULAR AND CARDIOTHORACIC ASSOCIATES OF MARYLAND PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801920145
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/10/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
826 WASHINGTON ROAD
Provider Second Line Business Mailing Address:
SUITE 209
Provider Business Mailing Address City Name:
WESTMINSTER
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21157-4915
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-840-8203
Provider Business Mailing Address Fax Number:
410-751-2816

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
826 WASHINGTON ROAD
Provider Second Line Business Practice Location Address:
SUITE 209
Provider Business Practice Location Address City Name:
WESTMINSTER
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21157-4915
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-840-8203
Provider Business Practice Location Address Fax Number:
410-751-2816
Provider Enumeration Date:
03/16/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ALI
Authorized Official First Name:
SOHAILA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
410-486-5901

Provider Taxonomy Codes

  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 436101600 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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