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North East Laser Vein Institute Llc
Vascular Surgery Physician in Ridgewood, New Jersey
NPI 1376875310

North East Laser Vein Institute Llc is a Vascular Surgery Physician based in Ridgewood, NJ and is specialized in Vascular Surgery. North East Laser Vein Institute Llc practices in Ridgewood, NJ. The NPI Number for North East Laser Vein Institute Llc is 1376875310 and holds a License No. 25MA03301900 (New Jersey).

The current practice location address for North East Laser Vein Institute Llc is 257 E Ridgewood Ave, Ridgewood, NJ and can be reached out via phone at 201-445-4410 and via fax at 201-444-7594.

Location: 257 E Ridgewood Ave, Ridgewood, NJ, 07450-3886
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376875310
Provider Name
North East Laser Vein Institute Llc
Credential
Provider Entity Type
Organization
Address
257 E Ridgewood Ave, Ridgewood, NJ, 07450-3886
Phone Number
201-445-4410
Fax Number
201-444-7594
Provider Enumeration Date
02/01/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
257 E Ridgewood Ave
City
Ridgewood
State
New Jersey
Zip
07450-3886
Phone Number
201-445-4410
Fax Number
201-444-7594
person
Provider Business Mailing Address Details
Address
257 E Ridgewood Ave
City
Ridgewood
State
New Jersey
Zip
07450-3886
Phone Number
201-445-4410
Fax Number
201-444-7594
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
25MA03301900 (New Jersey)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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