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Organization

CARDIOVASCULAR GROUP LLC

Active
Parent organization
CARDIOVASCULAR GROUP LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CARDIOVASCULAR GROUP LLC
Authorized official
DR. SAMUEL R RUBY MD (SENIOR PARTNER)
(610) 521-0150
Entity
Organization

Contact information

Practice address
145 S BRINTON LAKE RD, GLEN MILLS, PA 19342-2281
(610) 521-0150
(610) 521-6493
Mailing address
1 BARTOL AVE, STE 10, RIDLEY PARK, PA 19078-2214
(610) 521-0150
(610) 521-6493

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Enumeration date
07/27/2010
Last updated
07/27/2010
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