Organization
REVASCMEDPROFESSIONAL NJ LLC
Active
Organization
REVASCMEDPROFESSIONAL NJ LLC
Active
Other names
REVAMP
Organization subpart
No
Provider details
NPI number
Authorized official
JON C GEORGE MD (OWNER)
(215) 575-5906
Entity
Organization
Contact information
Practice address
525 ROUTE 73 N STE 117, MARLTON, NJ 08053-3422
(215) 575-5906
(215) 392-7992
Mailing address
525 ROUTE 73 N STE 117, MARLTON, NJ 08053-3422
(215) 575-5906
(215) 392-7992
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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