Organization
MODERN VEIN PROVIDERS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIYONG AHN MD (DOCTOR)
(860) 574-3423
Entity
Organization
Contact information
Practice address
903 HARTFORD TPKE, WATERFORD, CT 06385-4264
(860) 574-3423
(860) 222-9082
Mailing address
903 HARTFORD TPKE, WATERFORD, CT 06385-4264
(860) 574-3423
(860) 222-9082
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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