NPI: 1043758790 · PHILADELPHIA, PA 19107 · Interventional Cardiology Physician · NPI assigned 02/02/2017
| Authorized Official | MAXIMENKO, JENNIFER (FACILITY ADMINISTRATOR) |
| NPI Enumeration Date | 02/02/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 44 | $23K |
| 2023 | 30 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 36902 | 74 | 70 | $32K |