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Organization
WARREN ENDOVASCULAR ASSOCIATES LLC
Active
Organization
WARREN ENDOVASCULAR ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER M VITVITSKY RN (VICE PRESIDENT)
(304) 374-7754
Entity
Organization
Contact information
Practice address
1950 NILES CORTLAND RD NE STE 12, WARREN, OH 44484-1077
(330) 282-6301
(330) 451-5764
Mailing address
330 RED ROCK RUN, CORTLAND, OH 44410-9491
(304) 374-7754
(330) 451-5764
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
—
NULL
207RI0011X
Interventional Cardiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
NULL
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143870
—
OH
01
—
1578507299
NPPES
—
01
—
35.082483
MEDICAL LICENSE
OH
Enumeration date
08/07/2020
Last updated
08/22/2023
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