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Innovative Vascular Group
Specialist in Eatontown, New Jersey
NPI 1477591006

Innovative Vascular Group is a Specialist based in Holmdel, NJ. Innovative Vascular Group practices in Eatontown, NJ. The NPI Number for Innovative Vascular Group is 1477591006 and holds a License No. 25MA06756800 (New Jersey).

The current practice location address for Innovative Vascular Group is 142 Highway 35, Eatontown, NJ and can be reached out via phone at 732-380-1222.

Location: 142 Highway 35, Eatontown, NJ, 07733-1529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477591006
Provider Name
Innovative Vascular Group
Credential
Provider Entity Type
Organization
Address
142 Highway 35, Eatontown, NJ, 07733-1529
Phone Number
732-380-1222
Fax Number
Provider Enumeration Date
06/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2371188001 01 NJ AMERIHEALTH GROUP #
DC4342 01 NJ RAILROAD MEDICARE GROUP#
institution
Provider Business Practice Location Address Details
Address
142 Highway 35
City
Eatontown
State
New Jersey
Zip
07724-3427
Phone Number
732-380-1222
Fax Number
person
Provider Business Mailing Address Details
Address
142 Highway 35
City
Eatontown
State
New Jersey
Zip
07724-3427
Phone Number
732-380-1222
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MA06756800 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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