Organization
MOUNT SINAI VASCULAR INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE CHUTKAN (SR VP OF FINANCE)
(305) 674-2121
Entity
Organization
Contact information
Practice address
836 PONCE DE LEON BLVD STE 204, CORAL GABLES, FL 33134-3068
(305) 674-2906
Mailing address
PO BOX 527227, MIAMI, FL 33152-7227
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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