Organization
MID-ATLANTIC VEIN AND VASCULAR INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAYTHAM ALBIZEM MD (PRESIDENT)
(267) 252-6408
Entity
Organization
Contact information
Practice address
5600 CHESTNUT ST, PHILADELPHIA, PA 19139-3232
(267) 252-6408
Mailing address
5600 CHESTNUT ST, PHILADELPHIA, PA 19139-3232
(267) 252-6408
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
11/07/2019
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