Organization
AMERICAN ACCESS CARE OF SP LLC
Active
Other names
Azura Vascular Care South Philadelphia
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGG MILLER MD (AUTHORIZED OFFICIAL)
(717) 515-4048
Entity
Organization
Contact information
Practice address
2412 W PASSYUNK AVE STE 14, PHILADELPHIA, PA 19145-4114
(215) 462-2100
(215) 462-3100
Mailing address
PO BOX 416147, BOSTON, MA 02241-6147
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020298060 001
—
PA
Enumeration date
02/21/2006
Last updated
12/09/2025
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