# VASCULAR & VEIN CENTER OF NEW JERSEY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1396301974
- **Authorized official:** DR. MOHAMMAD NASIR KHAN MD (OWNER)
- **Authorized official phone:** (848) 257-1900

## Contact information

- **Practice address:** 10 INDUSTRIAL WAY E STE 103, EATONTOWN, NJ 07724-3332
- **Practice address phone:** (848) 257-1900
- **Practice address fax:** (848) 208-3445
- **Mailing address:** 10 INDUSTRIAL WAY E STE 103, EATONTOWN, NJ 07724-3332
- **Mailing address phone:** (848) 257-1900
- **Mailing address fax:** (848) 208-3445

## Taxonomy

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

## Other

- **Enumeration date:** 05/19/2019
- **Last updated:** 07/09/2019