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Contact Information

NEW JERSEY ENDOVASCULAR THERAPEUTICS PC
1200 E RIDGEWOOD AVE
RIDGEWOOD, NJ07450-3957
 Phone: 201-444-5353
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for NEW JERSEY ENDOVASCULAR THERAPEUTICS PC

NPI Number 1467655662
LBN Legal business name NEW JERSEY ENDOVASCULAR THERAPEUTICS PC
Authorized official DANIEL CHAR - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/06/2007
Last updated 07/18/2007 - About 19 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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