Organization
ONSITE VASCULAR GROUP CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA BAKSHIYEVA (MANAGER)
(732) 580-0660
Entity
Organization
Contact information
Practice address
GROSSO OFFICE PARK, 50 US HIGHWAY 9 NORTH, SUITE 102, MORGANVILLE, NJ 07751
(732) 490-5939
Mailing address
103 DIAMOND LN, OLD BRIDGE, NJ 08857-3321
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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