# VASCULAR SURGERY & TECHNOLOGY

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

## Provider details

- **NPI number:** 1841248218
- **Authorized official:** DR. VIRGINIA SANTOS NEWMAN MD (PRESIDENT)
- **Authorized official phone:** (812) 339-1100

## Contact information

- **Practice address:** 261 E PAUL REVERE DR, CHESTERTON, IN 46304-9371
- **Practice address phone:** (812) 339-1100
- **Practice address fax:** (812) 339-1292
- **Mailing address:** 261 E PAUL REVERE DR, CHESTERTON, IN 46304-9371
- **Mailing address phone:** (812) 339-1100
- **Mailing address fax:** (812) 339-1292

## Taxonomy

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

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 05/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200301640A | — | IN |