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NEPA VASCULAR LLC NPI 1679338685


NPI Information

NPI: 1679338685
Provider Name: NEPA VASCULAR LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
1918 W FRONT ST
BERWICK, PA
ZIP 18603
Phone: (570) 616-8589
Get Directions

NEPA VASCULAR LLC is a vascular surgery surgery in Berwick, 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. NEPA VASCULAR LLC NPI is 1679338685. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1918 W FRONT ST
BERWICK, PA
ZIP 18603-230
Phone: (570) 616-8589
Fax: (570) 616-8590

The provider's authorized official is John Guerriero .
The authorized official title is Owner Provider and has the following contact phone number (570) 616-8589.

The enumeration date for this NPI number is 2/19/2024 and was last updated on 2/19/2024.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantNo
2363L00000XNurse PractitionerNo
32086S0129XSurgeryVascular SurgeryYes

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: 5/5/2024

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