Individual provider · Type 1 NPI

Theresa Marie Impeduglia, MD

Vascular Surgery Physician · Hackensack, NJ

NPI number 1336189786 Active

Practice location

83 Summit Ave
Hackensack, NJ 07601-1262

Call (201) 646-0010 Map

Fax (201) 646-0600

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician 2086S0129X195134 (NY)
Vascular Surgery Physician Primary 2086S0129XMA72668 (NJ)

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 1336189786

Theresa Marie Impeduglia, MD's National Provider Identifier is 1336189786, issued on Jun 7, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Hackensack, NJ. The record was last updated on Sep 28, 2017.