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31D2120354 CLIA NUMBER - ATLANTIC COUNTY VASCULAR INSTITUTE

Laboratory Demographics

CLIA Number: 31D2120354

Facility Name: ATLANTIC COUNTY VASCULAR INSTITUTE

Facility Address:
4622 BLACK HORSE PIKE SUITE 102
MAYS LANDING, NJ
ZIP 08330
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Facility Phone Number: 609 363-9300

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1639693997

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 31D2120354
LAB Type Physician Office
Facility Name ATLANTIC COUNTY VASCULAR INSTITUTE
Street 4622 BLACK HORSE PIKE SUITE 102
City MAYS LANDING
State NJ
ZIP 08330
Phone 609 363-9300
CertificateType 4
CertificateEffectiveDate 10/14/2022
CertificateExpirationDate 10/13/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024