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NPI Profile for NEW JERSEY ENDOVASCULAR THERAPEUTICS PC in RIDGEWOOD, NJ.
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease |
| NPI Number | 1467655662 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/06/2007 | |
| Last updated | 07/18/2007 - About 19 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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NEW JERSEY ENDOVASCULAR THERAPEUTICS PC