Organization
NEPA VASCULAR INTERVENTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GUERRIERO III DO (AUTHORIZED OFFICIAL)
(570) 616-8589
Entity
Organization
Contact information
Practice address
1327 HIGHWAY 315 BLVD STE 1, WILKES BARRE, PA 18702-7046
(570) 616-8589
(570) 855-7004
Mailing address
1327 HIGHWAY 315 BLVD STE 1, WILKES BARRE, PA 18702-7046
(570) 616-8589
(570) 855-7004
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
09/16/2024
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