Individual
DR. RAVI DIWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1820 STATE ROUTE 33, SUITE 4B, NEPTUNE, NJ 07753-4860
(732) 776-8500
(732) 776-8946
Mailing address
1820 STATE ROUTE 33, SUITE 4B, NEPTUNE, NJ 07753-4860
(732) 776-8500
(732) 776-8946
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
255642
NY
207RC0000X
Cardiovascular Disease Physician
Primary
25MA09273100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03643116
—
NY
Enumeration date
09/15/2008
Last updated
06/17/2015
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