Organization
DIRECT INTERVENTIONAL ACCESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM FUSCO (MANAGER)
(973) 677-1027
Entity
Organization
Contact information
Practice address
110 S GROVE ST, EAST ORANGE, NJ 07018-4102
(973) 677-1027
Mailing address
110 S GROVE ST, EAST ORANGE, NJ 07018-4102
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NJ
Other
Enumeration date
05/18/2006
Last updated
08/22/2020
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