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Organization
MILLVILLE INTERNAL AND SPECIALTY MEDICINE LLC
Active
Organization
MILLVILLE INTERNAL AND SPECIALTY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAVI HAJEEBU (PRACTICE MANAGER)
(215) 768-2265
Entity
Organization
Contact information
Practice address
608 N HIGH ST, MILLVILLE, NJ 08332-3025
(856) 825-8080
(856) 327-8571
Mailing address
608 N HIGH ST, MILLVILLE, NJ 08332-3025
(856) 825-8080
(856) 327-8571
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07827400
NJ
207RC0000X
Cardiovascular Disease Physician
26MA08374000
FL
Other
Enumeration date
06/11/2010
Last updated
10/21/2010
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