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Organization
ELYSIUM AESTHETICS AND VEIN CARE, INC
Active
Organization
ELYSIUM AESTHETICS AND VEIN CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SINGH MD (OWNER)
(518) 852-8114
Entity
Organization
Contact information
Practice address
400 STATE ROUTE 17, RIDGEWOOD, NJ 07450
(518) 852-8114
(866) 339-2822
Mailing address
184 BEECHWOOD RD, ORADELL, NJ 07649
(518) 852-8114
(866) 339-2822
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25MA08769000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0242039
—
NJ
Enumeration date
03/30/2016
Last updated
06/03/2016
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