Organization
NORTH JERSEY VASCULAR CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL MOQUETE (MEDICAL DIRECTOR)
(973) 653-3366
Entity
Organization
Contact information
Practice address
246 HAMBURG TPKE, SUITE 207, WAYNE, NJ 07470-2156
(973) 653-3366
(973) 942-3295
Mailing address
246 HAMBURG TPKE, SUITE 207, WAYNE, NJ 07470-2156
(973) 653-3366
(973) 942-3295
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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