# AUTHORITY VASCULAR SURGERY INCORPORATED

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

## Provider details

- **NPI number:** 1730983131
- **Authorized official:** GABRIEL HERSCU MD (PRESIDENT)
- **Authorized official phone:** (209) 226-4300

## Contact information

- **Practice address:** 1611 W MARCH LN, STOCKTON, CA 95207-6401
- **Practice address phone:** (209) 645-2020
- **Practice address fax:** (209) 227-1477
- **Mailing address:** 1611 W MARCH LN, STOCKTON, CA 95207-6401
- **Mailing address phone:** (209) 226-4300
- **Mailing address fax:** (209) 227-1477

## Taxonomy

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

## Other

- **Enumeration date:** 04/03/2025
- **Last updated:** 09/22/2025