Hackensack Vascular Specialists Llc

NPI 1063840239 - Specialist - 174400000X

NPI Details
NPI 1063840239
Enumeration Date 10/24/2013
Last Updated 12/17/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name GREGORY GREGORY
Position PRESIDENT
Phone (201) 487-8882
Fax (201) 487-0943
Practice Location
211 ESSEX ST STE 102
HACKENSACK NJ, 07601-3244, US
Phone (201) 487-8882
Fax (201) 487-0943
Business Location
211 ESSEX ST STE 102
HACKENSACK NJ, 07601-3244, US
Phone (201) 487-8882
Fax (201) 487-0943
Toxanomy
Taxonomy Code 174400000X
License State New Jersey
License Number 25MB08446100
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According to our database, Hackensack Vascular Specialists Llc NPI is 1063840239, taxonomy code is 174400000X and license number is 25MB08446100, license state is located at New Jersey. Hackensack Vascular Specialists Llc physically located at 211 Essex St Ste 102, Hackensack NJ, 07601-3244. NPI Number 1033115704 has the healthcare provider type.

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1063840239 NPI number is provided on an as is basis without warranty of any kind. 1063840239 is maintained by the National Plan & Provider Enumeration System. The contents of Hackensack Vascular Specialists Llc are for informational purposes only.