Organization
VASCULAR ACCESS CENTER OF EATONTOWN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES FREDERICK MCGUCKIN MD (CEO)
(215) 382-3680
Entity
Organization
Contact information
Practice address
10 INDUSTRIAL WAY E, SUITE 7, EATONTOWN, NJ 07724-3332
(732) 380-0730
Mailing address
2929 ARCH ST, SUITE 1705, PHILADELPHIA, PA 19104-2857
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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