Organization
VASCULAR ACCESS CENTER OF WEST ORANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SETH SHARPE (CHIEF EXECUTIVE OFFICER)
(215) 382-3680
Entity
Organization
Contact information
Practice address
347 MOUNT PLEASANT AVE, SUITE 100, WEST ORANGE, NJ 07052-2724
(215) 382-3680
Mailing address
PO BOX 38574, PHILADELPHIA, PA 19104-8574
(215) 382-0680
(215) 240-1677
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164631
—
NJ
Enumeration date
03/07/2007
Last updated
05/26/2020
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