Organization
VASCULAR SURGERY & TECHNOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGINIA SANTOS NEWMAN MD (PRESIDENT)
(812) 339-1100
Entity
Organization
Contact information
Practice address
261 E PAUL REVERE DR, CHESTERTON, IN 46304-9371
(812) 339-1100
(812) 339-1292
Mailing address
261 E PAUL REVERE DR, CHESTERTON, IN 46304-9371
(812) 339-1100
(812) 339-1292
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200301640A
—
IN
Enumeration date
05/05/2006
Last updated
05/08/2008
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