Organization
VEIN RESTORATION MEDICAL GROUP. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKSANDR MARIRSOV DO (DIRECTOR)
(201) 791-7771
Entity
Organization
Contact information
Practice address
663 E CRESCENT AVE, STE 111, RAMSEY, NJ 07446
(201) 791-7771
(201) 791-7337
Mailing address
31-00 BROADWAY, 1ST FLOOR, FAIR LAWN, NJ 07410
(201) 791-7771
(201) 791-7337
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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