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Organization

REGIONAL VASCULAR & VEIN INSTITUTE

Active
Other names
Regional Surgical Specialists, Inc
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY T PREM MD (PRESIDENT)
(330) 602-7702
Entity
Organization

Contact information

Practice address
6046 WHIPPLE AVE NW STE 203, NORTH CANTON, OH 44720-7616
(330) 588-8900
(330) 588-8990
Mailing address
6046 WHIPPLE AVE NW STE 100, NORTH CANTON, OH 44720-7616
(330) 588-8900
(330) 588-8990

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
OH
2086S0129X
Vascular Surgery Physician
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2267676
OH
Enumeration date
02/05/2008
Last updated
04/09/2020
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