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US VASCULAR ACCESS CENTER OF PHILADELPHIA LLC NPI 1255536496


NPI Information

NPI: 1255536496
Provider Name: US VASCULAR ACCESS CENTER OF PHILADELPHIA, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
4220 MARKET ST
SECOND FLOOR
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 386-4959
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US VASCULAR ACCESS CENTER OF PHILADELPHIA, LLC is an ambulatory surgical clinic center in Philadelphia, PA. US VASCULAR ACCESS CENTER OF PHILADELPHIA, LLC NPI is 1255536496. The provider is registered as an organization entity type.

The provider's business location address is:

4220 MARKET ST
SECOND FLOOR
PHILADELPHIA, PA
ZIP 19104-007
Phone: (215) 386-4959
Fax: (215) 386-4950

The provider's authorized official is Debbie Wells .
The authorized official title is Vice-president and has the following contact phone number (770) 955-2226.

The enumeration date for this NPI number is 6/18/2007 and was last updated on 9/27/2007.


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
1261QA1903XClinic/CenterAmbulatory Surgical20461501PENNSYLVANIAYes

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
120461501OTHERPENNSYLVANIASTATE LICENSE

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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