Organization · NPI-2

Vascular Center For Lower Extremity Wellness

Surgery · Fort Lee, NJ

NPI number1073218079
StatusActive
Last updated in NPPESMar 31, 2023

Details

NPI
1073218079
Entity type
Organization (NPI-2)
Legal business name
Vascular Center For Lower Extremity Wellness
Organization subpart
No
Enumeration date
Mar 31, 2023
Certification date
Mar 31, 2023
Last updated
Mar 31, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery––Yes

Practice location

1608 Lemoine Ave Ste 101
Fort Lee, NJ 07024-5636

Phone 201-585-9921

Mailing address

1608 Lemoine Ave Ste 101
Fort Lee, NJ 07024-5636

Phone 201-585-9921

Authorized official

James Lee
Partner
2015859921

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