MYSTIC CARDIOLOGY ASSOCIATES INC – NPI #1124093224
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

MYSTIC CARDIOLOGY ASSOCIATES INC is a provider located in MEDFORD, MA. NPPES has assigned the NPI number 1124093224 to MYSTIC CARDIOLOGY ASSOCIATES INC on February 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 7 years ago on May 22, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MYSTIC CARDIOLOGY ASSOCIATES INC below.

NPI Profile for
MYSTIC CARDIOLOGY ASSOCIATES INC

NPI Number
1124093224
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MYSTIC CARDIOLOGY ASSOCIATES INC
Primary location
137 MAIN ST
MEDFORD, MA 02155-4522
Phone: (781) 395-4909 Fax: (781) 395-5081
1 Other location(s):
92 Montvale Ave Ste 3400
Stoneham, MA 02180-3668
Phone: (781) 438-5543
Fax: (781) 438-2001
Mailing address
170 GOVERNORS AVE
MEDFORD, MA 02155
Phone: (781) 395-4909 Fax: (781) 395-5081
Organization Subpart
No
Authorized Official
DAVID PLADZIEWICZ
PRESIDENT
Phone: (781) 395-4909
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
MA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.