Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revascmedprofessional Nj LLC

Organization Cardiovascular Disease Physician · NPI 1154078202

Revascmedprofessional Nj LLC is a Cardiovascular Disease Physician in Marlton, New Jersey. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

525 Route 73 N Ste 117
Marlton, NJ 08053-3422
Phone: (215) 575-5906
Fax: (215) 392-7992
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X
Cardiovascular Disease Physician Taxonomy 207RC0000X

Record details

NPI number1154078202
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon George — Owner · (215) 575-5906
Other names Revamp
NPI enumeratedMarch 8, 2022
Last updated in NPPESMarch 8, 2022
Certification dateMarch 8, 2022
Mailing address525 Route 73 N Ste 117, Marlton, NJ 08053-3422

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