Basic Information
| Provider Information | |||||||||
| NPI: | 1730254178 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BELLEVUE CARDIOLOGY ASSOCIATES | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 28 | ||||||||
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| City: | WASHINGTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7242283400 | ||||||||
| FaxNumber: | 7242287040 | ||||||||
| Practice Location | |||||||||
| Address1: | S JACKSON AVE | ||||||||
| Address2: | ALLEGHENY GENERAL SUBURBAN HOSPITAL | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7242283400 | ||||||||
| FaxNumber: | 7242287040 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/21/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | GERARD | ||||||||
| AuthorizedOfficialFirstName: | JOSEPH | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7242283400 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.