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Organization
VASCULAR ACCESS CENTER OF WEST ORANGE, LLC
Active
Organization
VASCULAR ACCESS CENTER OF WEST ORANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SETH SHARPE (CHIEF EXECUTIVE OFFICER)
(215) 382-3680
Entity
Organization
Contact information
Practice address
347 MOUNT PLEASANT AVE, SUITE 100, WEST ORANGE, NJ 07052-2724
(215) 382-3680
Mailing address
PO BOX 38574, PHILADELPHIA, PA 19104-8574
(215) 382-0680
(215) 240-1677
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164631
—
NJ
Enumeration date
03/07/2007
Last updated
05/26/2020
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