Organization · Type 2 NPI

USA Vascular Centers of Boston, LLC

Vascular Surgery Physician · West Roxbury, MA

NPI number 1194197095 Active

Practice location

1208B Vfw Pkwy Ste 300A
West Roxbury, MA 02132-4350

Fax (224) 246-8042

Mailing address

304 Wainwright Dr, Suite 120
Northbrook, IL 60062-1900

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129XNone listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1194197095

USA Vascular Centers of Boston, LLC's National Provider Identifier is 1194197095, issued on Oct 30, 2015. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in West Roxbury, MA. The record was last updated on Nov 18, 2021.