# VASCULAR AND INTERVENTIONAL SPECIALISTS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134937097
- **Authorized official:** DR. PETER B PARK MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (908) 930-0088

## Contact information

- **Practice address:** 300 PERRINE RD STE 302, OLD BRIDGE, NJ 08857-3629
- **Practice address phone:** (201) 725-7137
- **Practice address fax:** (732) 727-8345
- **Mailing address:** 26 DRIFTWOOD LN, COLTS NECK, NJ 07722-2120
- **Mailing address phone:** (201) 725-7137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/24/2024
- **Last updated:** 12/24/2024