Provider Demographics
NPI:1699789917
Name:ADVANCED CARDIOVASCULAR MEDICINE, LLC
Entity type:Organization
Organization Name:ADVANCED CARDIOVASCULAR MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SCHANZER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-650-0040
Mailing Address - Street 1:1 ETHEL RD
Mailing Address - Street 2:SUITE 106D
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-2838
Mailing Address - Country:US
Mailing Address - Phone:732-650-0040
Mailing Address - Fax:732-650-0045
Practice Address - Street 1:1 ETHEL RD
Practice Address - Street 2:SUITE 101D
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-2838
Practice Address - Country:US
Practice Address - Phone:732-650-0040
Practice Address - Fax:732-650-0045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty