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Organization
ASSOCIATES IN VASCULAR CARE LLC LIMB SALVAGE CENTER
Active
Organization
ASSOCIATES IN VASCULAR CARE LLC LIMB SALVAGE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OWANO PENNYCOOKE MD (PRESIDENT)
(732) 784-6550
Entity
Organization
Contact information
Practice address
1000 ROUTE 35 SOUTH, SUITE 300, MIDDLETOWN, NJ 07748-2606
(732) 784-6550
(732) 737-9836
Mailing address
3587 HIGHWAY 9 NORTH, SUITE 224, FREEHOLD, NJ 07728
(732) 784-6550
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
25MA08547000
NJ
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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