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General NPI Number Information
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NPI Number | 1770900565
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Entity Type | Organization
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Legal Business Name | THE CARDIOVASCULAR CENTERS
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Dates
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Enumeration Date | 03/18/2014
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Last Update Date | 04/22/2022
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Provider Practice Location Address
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Address Line | 750 ROUTE 73 S STE 309A
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City | MARLTON
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State | NJ
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Zip | 08053-4191
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Country | US
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Telephone | 856-872-3636
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Fax | 856-872-3606
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Provider Business Mailing Address
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Address Line | 750 ROUTE 73 S STE 309A
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City | MARLTON
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State | NJ
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Zip | 08053-4191
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Country | US
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Telephone | 856-872-3636
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. VIJAY RAI MARWAHA
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Credential | MD
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Telephone | 609-410-6726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MA08624500
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License Number State | NJ
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