Organization
CARDIOVASCULAR GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL R RUBY MD (PRESIDENT)
(610) 521-0150
Entity
Organization
Contact information
Practice address
1 BARTOL AVE, STE 10, RIDLEY PARK, PA 19078-2214
(610) 521-0150
(610) 521-0567
Mailing address
1 BARTOL AVE, STE 10, RIDLEY PARK, PA 19078-2214
(610) 521-0150
(610) 521-0567
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
08/15/2005
Last updated
08/22/2020
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