Organization
PERIPHERAL VASCULAR INSTITUTE OF PHILADELPHIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MCGUCKIN MD (CEO)
(215) 382-3680
Entity
Organization
Contact information
Practice address
4220 MARKET ST, 2ND FLOOR, PHILADELPHIA, PA 19104-3007
(215) 382-3680
(215) 382-3683
Mailing address
4220 MARKET ST FL 2, PHILADELPHIA, PA 19104-3007
(215) 382-3680
(215) 382-3683
Taxonomy
Speciality
Code
Description
License number
State
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
Primary
—
—
Other
Enumeration date
12/18/2009
Last updated
03/24/2020
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