Organization
ICU NJ, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP LUDWIG MD (OWNER)
(561) 299-3667
Entity
Organization
Contact information
Practice address
1825 NW CORPORATE BLVD STE 105, BOCA RATON, FL 33431-8554
(561) 299-3667
(561) 299-3670
Mailing address
PO BOX 743083, ATLANTA, GA 30374-3083
(561) 299-3667
(561) 299-3670
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450022
—
NJ
Enumeration date
07/30/2014
Last updated
04/05/2023
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