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PENNSYLVANIA VASCULAR ASSOCIATES P.C. NPI 1578625349


NPI Information

NPI: 1578625349
Provider Name: PENNSYLVANIA VASCULAR ASSOCIATES, P.C.

Doing Business As: PA VASCULAR ASSOC.

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
700 SPRUCE STREET
STE 101
PHILADELPHIA, PA
ZIP 19106
Phone: (215) 829-5000
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PENNSYLVANIA VASCULAR ASSOCIATES, P.C. is a vascular surgery surgery in Philadelphia, PA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. PENNSYLVANIA VASCULAR ASSOCIATES, P.C. NPI is 1578625349. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pa Vascular Assoc..

The provider's business location address is:

700 SPRUCE STREET
STE 101
PHILADELPHIA, PA
ZIP 19106-423
Phone: (215) 829-5000
Fax: (215) 627-0578

The provider's authorized official is Bridget Anne Walsh .
The authorized official title is Practice Manager and has the following contact phone number (215) 829-5093.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 1/10/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CN5867OTHERPENNSYLVANIARAILROAD MEDICARE
20016875000001MEDICAIDPENNSYLVANIA
3085130MEDICARE PINNEW JERSEY
4PTAN 407956MEDICARE PINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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