Organization
CENTER FOR VEIN RESTORATION MA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHANH Q NGUYEN DO (PRESIDENT)
(855) 830-8346
Entity
Organization
Contact information
Practice address
463 WORCESTER RD STE 205, FRAMINGHAM, MA 01701-5354
(855) 830-8346
(240) 473-4321
Mailing address
7474 GREENWAY CENTER DR STE 1000, GREENBELT, MD 20770-3500
(855) 830-8346
(240) 473-4321
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
208600000X
Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04066051
—
NY
Enumeration date
05/13/2019
Last updated
04/30/2024
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