Organization
VEIN LASER CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALAH TAHA MD (PRESIDENT)
(201) 659-0536
Entity
Organization
Contact information
Practice address
550 SUMMIT AVE STE 203, JERSEY CITY, NJ 07306-2700
(201) 659-0536
Mailing address
550 SUMMIT AVE STE 203, JERSEY CITY, NJ 07306-2700
(201) 659-0536
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03767500
NJ
Other
Enumeration date
05/30/2008
Last updated
01/03/2013
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