# NJ VIP MEDICAL SERVICES LLC

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

## Provider details

- **NPI number:** 1265294227
- **Authorized official:** MICHAEL NGUYEN MD (OWNER)
- **Authorized official phone:** (917) 920-3006

## Contact information

- **Practice address:** 1117 ROUTE 46 STE 205, CLIFTON, NJ 07013-2450
- **Practice address phone:** (973) 500-6768
- **Mailing address:** 244 MADISON AVEUNE, \#1100, NEW YORK, NY 10016-2450
- **Mailing address phone:** (973) 500-6768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | — | NULL | Yes |
| 202K00000X | Phlebology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/25/2024
- **Last updated:** 01/25/2024