Organization
JVG CARDIOVASCULAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA NIELI (CREDENTIALING MANAGER)
(914) 376-6100
Entity
Organization
Contact information
Practice address
60 BALDWIN RD STE 101B, PARSIPPANY, NJ 07054-2901
(646) 331-9154
Mailing address
197 WYCKOFF AVE, WYCKOFF, NJ 07481-2548
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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