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Organization
VASCULAR AND INTERVENTIONAL SPECIALISTS, PC
Active
Organization
VASCULAR AND INTERVENTIONAL SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER B PARK MD (MEDICAL DIRECTOR)
(908) 930-0088
Entity
Organization
Contact information
Practice address
300 PERRINE RD STE 302, OLD BRIDGE, NJ 08857-3629
(201) 725-7137
(732) 727-8345
Mailing address
26 DRIFTWOOD LN, COLTS NECK, NJ 07722-2120
(201) 725-7137
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
12/24/2024
Last updated
12/24/2024
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