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Organization
VASCULAR ACCESS CENTER OF TRENTON LLC
Active
Organization
VASCULAR ACCESS CENTER OF TRENTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY J PARKINSON (CEO)
(215) 382-3680
Entity
Organization
Contact information
Practice address
1450 PARKSIDE AVE, UNIT 18, TRENTON, NJ 08638-2946
(609) 882-1770
(609) 882-8406
Mailing address
1450 PARKSIDE AVE, UNIT 18, TRENTON, NJ 08638-2946
(609) 882-1770
(609) 882-8406
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105953
—
NJ
01
—
DF7654
RAILROAD MEDICARE
NJ
Enumeration date
05/19/2006
Last updated
08/11/2009
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