Provider Demographics
NPI:1790037679
Name:CARDIOLOGY OF NJ, P.C.
Entity Type:Organization
Organization Name:CARDIOLOGY OF NJ, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:RUKSHIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-617-0033
Mailing Address - Street 1:13 DEER PATH
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-2028
Mailing Address - Country:US
Mailing Address - Phone:732-617-0033
Mailing Address - Fax:866-263-5979
Practice Address - Street 1:13 DEER PATH
Practice Address - Street 2:
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-2028
Practice Address - Country:US
Practice Address - Phone:732-617-0033
Practice Address - Fax:866-263-5979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-03
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty