Organization
NORTH JERSEY VASCULAR CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL MOQUETE MD (MANAGING MEMBER)
(973) 653-3366
Entity
Organization
Contact information
Practice address
1429 BROAD ST, CLIFTON, NJ 07013-4221
(973) 653-3366
(973) 474-1031
Mailing address
246 HAMBURG TPKE, SUITE 207, WAYNE, NJ 07470-2156
(973) 653-3366
(973) 474-1031
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
09/26/2014
Last updated
03/26/2015
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