Provider Demographics
NPI:1154768315
Name:ABSECON ISLAND CARDIOLOGY, LLC
Entity type:Organization
Organization Name:ABSECON ISLAND CARDIOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RASHMIKANT
Authorized Official - Middle Name:SUMANTLAL
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-677-7776
Mailing Address - Street 1:200 S NEW RD
Mailing Address - Street 2:P.O BOX 5
Mailing Address - City:ABSECON
Mailing Address - State:NJ
Mailing Address - Zip Code:08201-2530
Mailing Address - Country:US
Mailing Address - Phone:609-677-7776
Mailing Address - Fax:
Practice Address - Street 1:200 S NEW RD
Practice Address - Street 2:
Practice Address - City:ABSECON
Practice Address - State:NJ
Practice Address - Zip Code:08201-2530
Practice Address - Country:US
Practice Address - Phone:609-677-7776
Practice Address - Fax:
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 Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty