Organization Name: | WATERTOWN HEART INSTITUTE SC |
NPI Number: | 1831420587 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SALIM M. SHAMMO (PRESIDENT) |
Mailing Address: | 125 Hospital Drive Watertown |
State: | WI US |
Postal Code: | 530983303 |
Phone Number: | 9202624449 |
Fax Number: | 9202624533 |
NPI Enumeration Date: | 01/20/2010 |
NPI Last Update Date: | 05/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 36011-20 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |