Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coaldale Cardiology, Inc

Organization Internal Medicine Physician · NPI 1710987219

Coaldale Cardiology, Inc is an Internal Medicine Physician in Coaldale, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2005.

Licensed in
PA
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

360 W Ruddle St
Coaldale, PA 18218-1027
Phone: (570) 645-0495
Fax: (570) 645-0497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD015292E (PA)

Record details

NPI number1710987219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Dejoseph — Director · (570) 645-0495
NPI enumeratedJuly 26, 2005
Last updated in NPPESAugust 22, 2020
Mailing address360 W Ruddle St, Coaldale, PA 18218-1027

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