# DELAWARE VASCULAR INSTITUTE LLC

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

## Provider details

- **NPI number:** 1558074195
- **Authorized official:** JAMES MCGUCKIN MD (OWNER)
- **Authorized official phone:** (215) 836-1508

## Contact information

- **Practice address:** 5600 CHESTNUT ST, PHILADELPHIA, PA 19139-3232
- **Practice address phone:** (215) 836-1508
- **Mailing address:** 585 COUNTY LINE RD, RADNOR, PA 19087-3718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2022
- **Last updated:** 12/28/2022