Organization · Type 2 NPI
Northern Valley Vascular Associates
Vascular Surgery Physician · Old Tappan, NJ
NPI number
1124035217
Active
Practice location
48 Bi State Plz # 225
Old Tappan, NJ 07675-7003
Fax (212) 254-6886
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 210651 (NY) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Another provider at this address
About NPI 1124035217
Northern Valley Vascular Associates's National Provider Identifier is 1124035217, issued on Aug 2, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Old Tappan, NJ. The record was last updated on Feb 3, 2017.