Organization
ASCLEPIUS VASCULAR SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE MANIS MD (OWNER)
(973) 877-5059
Entity
Organization
Contact information
Practice address
111 CENTRAL AVENUE, NEWARK, NJ 07102
(973) 877-5059
(973) 877-2954
Mailing address
1401 NORWOOD WAY, WHIPPANY, NJ 07981-1435
(973) 877-5059
(973) 877-2954
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA08210100
NJ STATE LICENCE
NJ
Enumeration date
10/20/2010
Last updated
10/20/2010
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