Organization
VEIN TREATMENT NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL NGUYEN MD (OWNER)
(305) 962-5239
Entity
Organization
Contact information
Practice address
1117 ROUTE 46 STE 205, CLIFTON, NJ 07013-2450
(973) 500-6768
(201) 377-2125
Mailing address
576 VALLEY RD STE 303, WAYNE, NJ 07470-3526
(973) 500-6768
(201) 377-2125
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA10372400
MEDICAL LICENSE
NJ
Enumeration date
05/15/2020
Last updated
04/13/2026
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