Organization · Type 2 NPI
North East Laser Vein Institute LLC
Vascular Surgery Physician · Ridgewood, NJ
NPI number
1376875310
Active
Practice location
257 E Ridgewood Ave, Suite 302
Ridgewood, NJ 07450-3886
Fax (201) 444-7594
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 25MA03301900 (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.
3 other providers at this address
Other vascular surgery physician providers in Ridgewood
About NPI 1376875310
North East Laser Vein Institute LLC's National Provider Identifier is 1376875310, issued on Feb 1, 2010. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Ridgewood, NJ. The record was last updated on Oct 10, 2012.