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Organization
USA VASCULAR CENTER OF NEW JERSEY LLC
Active
Organization
USA VASCULAR CENTER OF NEW JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMI ALMEDA (CREDENTIALING MANAGER)
(224) 318-0118
Entity
Organization
Contact information
Practice address
272 MAIN ST STE A, ORANGE, NJ 07050-3605
(847) 593-8460
(224) 235-4652
Mailing address
PO BOX 353, NORTHBROOK, IL 60065-0353
(847) 593-8460
(224) 235-4652
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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