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VASCULAR & VEIN CENTER OF NEW JERSEY LLC NPI 1396301974


NPI Information

NPI: 1396301974
Provider Name: VASCULAR & VEIN CENTER OF NEW JERSEY LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

CLIA Number: 31D2167170

Address:
10 INDUSTRIAL WAY E STE 103
EATONTOWN, NJ
ZIP 07724
Phone: (848) 257-1900
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VASCULAR & VEIN CENTER OF NEW JERSEY LLC is a vascular surgery surgery in Eatontown, NJ. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. VASCULAR & VEIN CENTER OF NEW JERSEY LLC NPI is 1396301974. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10 INDUSTRIAL WAY E STE 103
EATONTOWN, NJ
ZIP 07724-332
Phone: (848) 257-1900
Fax: (848) 208-3445

The provider's authorized official is Mohammad Nasir Khan .
The authorized official title is Owner and has the following contact phone number (848) 257-1900.

The CLIA number assigned to this NPI record is 31D2167170 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2019 and was last updated on 7/9/2019.


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
12086S0129XSurgeryVascular 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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