Provider Demographics
NPI:1700223955
Name:COMPLETE CARDIOVASCULAR CARE LLC
Entity Type:Organization
Organization Name:COMPLETE CARDIOVASCULAR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-287-0255
Mailing Address - Street 1:4 ETHEL RD
Mailing Address - Street 2:SUITE 405B
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-2841
Mailing Address - Country:US
Mailing Address - Phone:732-287-0255
Mailing Address - Fax:732-287-0355
Practice Address - Street 1:4 ETHEL RD
Practice Address - Street 2:SUITE 405B
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-2841
Practice Address - Country:US
Practice Address - Phone:732-287-0255
Practice Address - Fax:732-287-0355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08916200207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty