Organization
EASTERN VASCULAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE LEE MINTZ DO (PRESIDENT)
(973) 625-0112
Entity
Organization
Contact information
Practice address
16 POCONO RD, SUITE 313, DENVILLE, NJ 07834-2901
(973) 625-0112
(973) 625-0721
Mailing address
16 POCONO RD, SUITE 313, DENVILLE, NJ 07834-2901
(973) 625-0112
(973) 625-0721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
06/08/2011
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