Organization
NEW JERSEY PHLEBOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J THEODORE KING MD (OWNER)
(630) 725-2768
Entity
Organization
Contact information
Practice address
55 MADISON AVE, SUITE 400, MORRISTOWN, NJ 07960-7337
(630) 725-2730
(877) 219-4810
Mailing address
1901 BUTTERFIELD RD, 220, DOWNERS GROVE, IL 60515-7915
(630) 725-2768
(877) 219-4810
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
—
—
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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