Organization
HERITAGE VASCULAR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIRMAN TULSYAN MD (CEO)
(201) 283-4363
Entity
Organization
Contact information
Practice address
663 E CRESCENT AVE STE 111, RAMSEY, NJ 07446-1220
(201) 283-4363
Mailing address
663 E CRESCENT AVE STE 111, RAMSEY, NJ 07446-1220
(201) 283-4363
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA08054200
PROV LIC NUMBER
NJ
Enumeration date
01/15/2019
Last updated
07/10/2023
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