Provider Demographics
NPI:1770900565
Name:THE CARDIOVASCULAR CENTERS
Entity type:Organization
Organization Name:THE CARDIOVASCULAR CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:RAI
Authorized Official - Last Name:MARWAHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-410-6726
Mailing Address - Street 1:750 ROUTE 73 S STE 309A
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4191
Mailing Address - Country:US
Mailing Address - Phone:856-872-3636
Mailing Address - Fax:
Practice Address - Street 1:750 ROUTE 73 S STE 309A
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-4191
Practice Address - Country:US
Practice Address - Phone:856-872-3636
Practice Address - Fax:856-872-3606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-18
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08624500207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0266281Medicaid
NJ222889YBAWMedicare UPIN