Organization
HERITAGE VASCULAR SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEKSANDR MARTIROSOV DO (OWNER)
(973) 557-3351
Entity
Organization
Contact information
Practice address
421 BROADWAY, BAYONNE, NJ 07002-3627
(973) 557-3351
Mailing address
663 E CRESCENT AVE STE 111, RAMSEY, NJ 07446-1220
(973) 557-3351
(201) 350-8614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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