# NUTLEY VASCULAR CLINIC

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

## Provider details

- **NPI number:** 1609646066
- **Authorized official:** STEVE ODEH MD (OWNER)
- **Authorized official phone:** (404) 242-9621

## Contact information

- **Practice address:** 410 CENTRE ST, NUTLEY, NJ 07110-1635
- **Practice address phone:** (404) 242-9621
- **Practice address fax:** (845) 362-8474
- **Mailing address:** 410 CENTRE ST, NUTLEY, NJ 07110-1635
- **Mailing address phone:** (404) 242-9621
- **Mailing address fax:** (856) 457-5157

## Taxonomy

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

## Other

- **Enumeration date:** 01/08/2024
- **Last updated:** 02/07/2026