CENTER FOR VEIN RESTORATION CT LLC NPI 1306282926

NPI Information

CENTER FOR VEIN RESTORATION CT LLC is a vascular surgery surgery in Stamford, CT. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. CENTER FOR VEIN RESTORATION CT LLC NPI is 1306282926. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1290 SUMMER ST
SUITE 2100
STAMFORD, CT
ZIP 06905-360
Phone: (240) 965-3271
Fax: (240) 473-4321

The provider's authorized official is Olga Vernon .
The authorized official title is Credentialing Manager and has the following contact phone number (240) 965-3271.

The enumeration date for this NPI number is 5/22/2013 and was last updated on 5/22/2013.

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:

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