Organization
NEW JERSEY VASCULAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH HILDERLEY (BILLING AGENT)
(352) 683-3855
Entity
Organization
Contact information
Practice address
410 US HIGHWAY 46, FAIRFIELD, NJ 07004-1972
(862) 210-8189
Mailing address
PO BOX 104, EAST HANOVER, NJ 07936-0104
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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