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Organization

TIF W SIRAGUSA

Active
Other names
Vein & Vascular Center of Nashville PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
TIF WILLIAM SIRAGUSA MD (PRESIDENT)
(615) 884-7600
Entity
Organization

Contact information

Practice address
5651 FRIST BLVD, SUITE 414, HERMITAGE, TN 37076-2054
(615) 884-7600
Mailing address
5651 FRIST BLVD, SUITE 414, HERMITAGE, TN 37076-2054
(615) 884-7600

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
43966
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1527328
TN
Enumeration date
03/16/2012
Last updated
06/14/2012
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