Organization
READING VASCULAR SURGICAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC C JAXHEIMER M.D. (PRESIDENT)
(610) 378-9667
Entity
Organization
Contact information
Practice address
301 S 7TH AVE, SUITE 1070, WEST READING, PA 19611-1410
(610) 378-9667
(610) 378-9101
Mailing address
301 S 7TH AVE, SUITE 1070, WEST READING, PA 19611-1410
(610) 378-9667
(610) 378-9101
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007470260001
—
PA
Enumeration date
03/17/2006
Last updated
02/14/2008
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