Organization · Type 2 NPI

Innovative Vascular Group

Specialist · Eatontown, NJ

NPI number 1477591006 Active

Practice location

142 Highway 35, Suite 106A
Eatontown, NJ 07724-3427

Mailing address

4 Crape Myrtle Dr
Holmdel, NJ 07733-1529

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X25MA06756800 (NJ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

6 other providers at this address

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About NPI 1477591006

Innovative Vascular Group's National Provider Identifier is 1477591006, issued on Jun 4, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Eatontown, NJ. The record was last updated on Sep 13, 2007.