Organization · Type 2 NPI
Goshen Surgical Associates, Inc.
Vascular Surgery Physician · Goshen, IN
NPI number
1093823908
Active
Practice location
101 Marilyn Ave, Suite 4
Goshen, IN 46526-4800
Fax (574) 534-6822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 50001564A (IN) |
| Vascular Surgery Physician Primary | 2086S0129X | 50001564A (IN) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
2 other providers at this address
About NPI 1093823908
Goshen Surgical Associates, Inc.'s National Provider Identifier is 1093823908, issued on Aug 29, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Goshen, IN. The record was last updated on Jan 24, 2011.