Organization
IERARDI VASCULAR CLINIC LLC
Active
Organization
IERARDI VASCULAR CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH IERARDI MD (PRESIDENT)
(302) 733-5700
Entity
Organization
Contact information
Practice address
1815 W 13TH ST, SUITE 4, WILMINGTON, DE 19806-4054
(302) 733-5700
Mailing address
1815 W 13TH ST, SUITE 4, WILMINGTON, DE 19806-4054
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
C1-0008237
DE
Other
Enumeration date
01/27/2015
Last updated
01/30/2015
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