Provider Demographics
NPI:1689973745
Name:THE CENTER FOR INTEGRATIVE CARDIAC CARE, L.L.C.
Entity Type:Organization
Organization Name:THE CENTER FOR INTEGRATIVE CARDIAC CARE, L.L.C.
Other - Org Name:THE CENTER FOR INTEGRATIVE MEDICINE AND I.V.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRIMARY OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RANY
Authorized Official - Middle Name:
Authorized Official - Last Name:SALEH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:201-222-7512
Mailing Address - Street 1:809 N WOOD AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-4037
Mailing Address - Country:US
Mailing Address - Phone:732-607-4713
Mailing Address - Fax:
Practice Address - Street 1:809 N WOOD AVE FL 2
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-4037
Practice Address - Country:US
Practice Address - Phone:732-607-4713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-15
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB07661700207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ145072Medicare UPIN