Organization · Type 2 NPI
Elysium Aesthetics and Vein Care, Inc
Vascular & Interventional Radiology Physician · Ridgewood, NJ
NPI number
1952764862
Active
Practice location
400 State Route 17
Ridgewood, NJ 07450
Fax (866) 339-2822
Mailing address
184 Beechwood Rd
Oradell, NJ 07649
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular & Interventional Radiology Physician Primary | 2085R0204X | 25MA08769000 (NJ) |
Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
About NPI 1952764862
Elysium Aesthetics and Vein Care, Inc's National Provider Identifier is 1952764862, issued on Mar 30, 2016. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Ridgewood, NJ. The record was last updated on Jun 3, 2016.