Organization
NJ CARDIOVASCULAR CARE LLC
Active
Other names
NJ CARDIOVASCULAR CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANITA RAVI M.D. (SOLE OWNER)
(718) 501-3907
Entity
Organization
Contact information
Practice address
102 JAMES ST, SUITE 302, EDISON, NJ 08820-3970
(718) 501-3907
Mailing address
102 JAMES ST, SUITE 302, EDISON, NJ 08820-3970
(718) 501-3907
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA09450500
NJ
207RC0000X
Cardiovascular Disease Physician
25MA09450500
NJ
207RI0011X
Interventional Cardiology Physician
Primary
25MA09450500
NJ
Other
Enumeration date
03/29/2014
Last updated
03/29/2014
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