Organization
PHILADELPHIA VASCULAR INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES F MCGUCKIN MD (CEO)
(215) 382-3680
Entity
Organization
Contact information
Practice address
4622 BLACK HORSE PIKE, SUITE 102, MAYS LANDING, NJ 08330-3214
(215) 382-3680
(215) 382-3683
Mailing address
2929 ARCH ST, SUITE 620, PHILADELPHIA, PA 19104-2866
(215) 382-3680
(215) 382-3683
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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