# VEIN CENTER AND MEDICAL SPA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Amalfi, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740358209
- **Authorized official:** DAVID AMALFITANO M.D. (PRESIDENT)
- **Authorized official phone:** (231) 941-7500

## Contact information

- **Practice address:** 4020 COPPER VW STE 212, TRAVERSE CITY, MI 49684-7041
- **Practice address phone:** (231) 941-7500
- **Practice address fax:** (231) 941-7509
- **Mailing address:** 4020 COPPER VW, SUITE 212, TRAVERSE CITY, MI 49684-7098
- **Mailing address phone:** (231) 941-7500
- **Mailing address fax:** (231) 940-7509

## Taxonomy

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

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 10/16/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5281088 | BLUE CROSS BLUE SHIELD | MI |