# CENTER FOR VASCULAR MEDICINE NJ, LLC

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

## Provider details

- **NPI number:** 1144761685
- **Authorized official:** DR. SANJIV LAKHANPAL M.D. (CEO)
- **Authorized official phone:** (301) 982-2000

## Contact information

- **Practice address:** 415 ROUTE 24 STE 6/7, CHESTER, NJ 07930-2920
- **Practice address phone:** (301) 486-4690
- **Practice address fax:** (301) 982-2001
- **Mailing address:** 7474 GREENWAY CENTER DR STE 650, GREENBELT, MD 20770-3560
- **Mailing address phone:** (301) 982-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2017
- **Last updated:** 05/24/2019