# NEW JERSEY VASCULAR LLC

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

## Provider details

- **NPI number:** 1841807161
- **Authorized official:** MS. DEBORAH HILDERLEY (BILLING AGENT)
- **Authorized official phone:** (352) 683-3855

## Contact information

- **Practice address:** 410 US HIGHWAY 46, FAIRFIELD, NJ 07004-1972
- **Practice address phone:** (862) 210-8189
- **Mailing address:** PO BOX 104, EAST HANOVER, NJ 07936-0104

## Taxonomy

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

## Other

- **Enumeration date:** 09/30/2020
- **Last updated:** 09/30/2020