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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 # | 1407729940 |
| LBN Legal business name | 61-3 MEDICAL PC |
| Authorized official | CRYSTAL TOUSSAINT - (ADMINISTRATIVE ASSISTANT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/29/2025 |
| Last updated | 09/29/2025 - About 8 months ago |
| Identifiers | n/a |
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61-3 MEDICAL PC
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61-3 MEDICAL PC