Organization
PREMIER VEIN & VASCULAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISAAC H. TAWFIK MD (MD., OWNER)
(908) 812-4460
Entity
Organization
Contact information
Practice address
479 RT 520, STE A203, MARLBORO, NJ 07746
(908) 812-4460
(732) 263-5029
Mailing address
479 COUNTY ROAD 520 STE A203, MARLBORO, NJ 07746-1087
(908) 812-4460
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
25MA08003200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA08003200
LICENSE NUMBER
NJ
Enumeration date
01/23/2018
Last updated
03/07/2023
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