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Organization
PLESSEN HEALTHCARE, LLC
Active
Organization
PLESSEN HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN BIJAN TAWAKOL MD (CEO/PRESIDENT)
(340) 715-7720
Entity
Organization
Contact information
Practice address
5 ORANGE GROVE, CHRISTIANSTED, VI 00820
(340) 715-7720
(340) 713-9002
Mailing address
3004 ORANGE GROVE, SUITE 2, CHRISTIANSTED, VI 00820-4288
(340) 715-7720
(340) 713-9002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
VI
207L00000X
Anesthesiology Physician
—
VI
207R00000X
Internal Medicine Physician
—
VI
207RH0005X
Hypertension Specialist Physician
—
VI
207RN0300X
Nephrology Physician
—
VI
207W00000X
Ophthalmology Physician
—
VI
208600000X
Surgery Physician
—
VI
2086S0129X
Vascular Surgery Physician
—
VI
208D00000X
General Practice Physician
—
VI
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
VI
261QI0500X
Infusion Therapy Clinic/Center
—
VI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750375671
NPI
VI
Enumeration date
02/06/2014
Last updated
01/26/2016
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