Organization
DMAC VASCULAR LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH DEGREGORIO MD (PRESIDENT)
(215) 939-0668
Entity
Organization
Contact information
Practice address
946 BLOOMFIELD AVE LOWR LEVEL, GLEN RIDGE, NJ 07028-1308
(973) 743-1121
Mailing address
946 BLOOMFIELD AVE LOWR LEVEL, GLEN RIDGE, NJ 07028-1308
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
11/14/2021
Last updated
11/14/2021
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