# VASCULAR DIAGNOSTIC CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VASCULAR DIAGNOSTIC CENTER PC
- **Other names:** Chartered Vascular Diagnostic Inc
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558784538
- **Legal business name:** VASCULAR DIAGNOSTIC CENTER PC
- **Authorized official:** TERENCE COCHRAN MD (PRESIDENT)
- **Authorized official phone:** (570) 343-1900

## Contact information

- **Practice address:** 103 SQUIRREL RUN, CLARKS GREEN, PA 18411-8960
- **Practice address phone:** (570) 343-1900
- **Mailing address:** 100 MYLES STANDISH BLVD, TAUNTON, MA 02780-7340
- **Mailing address phone:** (508) 880-3700

## Taxonomy

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

## Other

- **Enumeration date:** 01/28/2014
- **Last updated:** 04/28/2014