# MILLVILLE INTERNAL AND SPECIALTY MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497075527
- **Authorized official:** MR. RAVI HAJEEBU (PRACTICE MANAGER)
- **Authorized official phone:** (215) 768-2265

## Contact information

- **Practice address:** 608 N HIGH ST, MILLVILLE, NJ 08332-3025
- **Practice address phone:** (856) 825-8080
- **Practice address fax:** (856) 327-8571
- **Mailing address:** 608 N HIGH ST, MILLVILLE, NJ 08332-3025
- **Mailing address phone:** (856) 825-8080
- **Mailing address fax:** (856) 327-8571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA07827400 | NJ | Yes |
| 207RC0000X | Cardiovascular Disease Physician | 26MA08374000 | FL | — |

## Other

- **Enumeration date:** 06/11/2010
- **Last updated:** 10/21/2010