Organization
USA VASCULAR CENTER OF NEW JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMI ALMEDA (CREDENTIALING MANAGER)
(224) 318-0118
Entity
Organization
Contact information
Practice address
272 MAIN ST STE A, ORANGE, NJ 07050-3605
(847) 593-8460
(224) 235-4652
Mailing address
PO BOX 353, NORTHBROOK, IL 60065-0353
(847) 593-8460
(224) 235-4652
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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