| Organization Name: | BLACKSTONE CARDIOLOGY ASSOCIATES, PC |
| NPI Number: | 1003034869 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDREW R HORDES (PRESIDENT) |
| Mailing Address: | 333 School St Suite 112 Pawtucket |
| State: | RI US |
| Postal Code: | 028605334 |
| Phone Number: | 4017231210 |
| Fax Number: | 4013122099 |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | NPP36181 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |