Organization
MILLVILLE INTERNAL AND SPECIALTY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAVI HAJEEBU (PRACTICE MANAGER)
(215) 768-2265
Entity
Organization
Contact information
Practice address
608 N HIGH ST, MILLVILLE, NJ 08332-3025
(856) 825-8080
(856) 327-8571
Mailing address
608 N HIGH ST, MILLVILLE, NJ 08332-3025
(856) 825-8080
(856) 327-8571
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07827400
NJ
207RC0000X
Cardiovascular Disease Physician
26MA08374000
FL
Other
Enumeration date
06/11/2010
Last updated
10/21/2010
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