# AESTHETIC VASCULAR ASSOCIATION LLC

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

## Provider details

- **NPI number:** 1972737864
- **Authorized official:** DR. ANDREW IRA ELKWOOD M.D. (OWNER)
- **Authorized official phone:** (732) 741-0970

## Contact information

- **Practice address:** 535 SYCAMORE AVE, SHREWSBURY, NJ 07702-4224
- **Practice address phone:** (732) 741-0970
- **Practice address fax:** (732) 747-2606
- **Mailing address:** 535 SYCAMORE AVE, SHREWSBURY, NJ 07702-4224
- **Mailing address phone:** (732) 741-0970
- **Mailing address fax:** (732) 747-2606

## Taxonomy

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

## Other

- **Enumeration date:** 05/07/2009
- **Last updated:** 05/07/2009