# ASCLEPIUS VASCULAR SERVICES PC

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

## Provider details

- **NPI number:** 1689984940
- **Authorized official:** DR. GEORGE MANIS MD (OWNER)
- **Authorized official phone:** (973) 877-5059

## Contact information

- **Practice address:** 111 CENTRAL AVENUE, NEWARK, NJ 07102
- **Practice address phone:** (973) 877-5059
- **Practice address fax:** (973) 877-2954
- **Mailing address:** 1401 NORWOOD WAY, WHIPPANY, NJ 07981-1435
- **Mailing address phone:** (973) 877-5059
- **Mailing address fax:** (973) 877-2954

## Taxonomy

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

## Other

- **Enumeration date:** 10/20/2010
- **Last updated:** 10/20/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 25MA08210100 | NJ STATE LICENCE | NJ |