Organization
CCC VEIN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRFAN M ADMANI MD (PRESIDENT)
(201) 605-3035
Entity
Organization
Contact information
Practice address
103 RIVER RD, SUITE202, EDGEWATER, NJ 07020-1016
(201) 605-3035
(201) 941-1235
Mailing address
103 RIVER RD, SUITE202, EDGEWATER, NJ 07020-1016
(201) 605-3035
(201) 941-1235
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA07010400
NJ
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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