Innovative Vascular Group
Specialist in Eatontown, New Jersey
1477591006- Practice location
- 142 Highway 35, Suite 106A, Eatontown, NJ 07724-3427
- Phone
- 732-380-1222
- Fax
- —
- Last updated
- September 13, 2007
Innovative Vascular Group is a healthcare organization based in Eatontown, NJ. Innovative Vascular Group practices in Eatontown, NJ. The NPI Number for Innovative Vascular Group is 1477591006 and holds a License No. 25MA06756800 (NJ). The current practice location address for Innovative Vascular Group is 142 Highway 35, Suite 106A, Eatontown, NJ 07724-3427 and can be reached out via phone at 732-380-1222.
Provider Profile Details
- NPI Number
- 1477591006
- Provider Name
- Innovative Vascular Group
- Provider Entity Type
- Organization
- Address
- 142 Highway 35, Suite 106A, Eatontown, NJ 07724-3427
- Phone Number
- 732-380-1222
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Dr. Alfonso Ciervo, MD · Owner · 732-380-1222
- Provider Enumeration Date
- June 4, 2006
- Last Update Date
- September 13, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 142 Highway 35
Suite 106A
Eatontown, NJ 07724-3427 - City
- Eatontown
- State
- New Jersey
- Zip
- 07724-3427
- Phone Number
- 732-380-1222
Provider Business Mailing Address Details
- Address
- 4 Crape Myrtle Dr
Holmdel, NJ 07733-1529 - City
- Holmdel
- State
- NJ
- Zip
- 07733-1529
- Phone Number
- 732-380-1222
License Information
- License Number
- 25MA06756800
- License State
- NJ
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Eatontown, NJ
View all Specialists in Eatontown →Frequently Asked Questions
What is the NPI number of Innovative Vascular Group?
The NPI number of Innovative Vascular Group is 1477591006. It was assigned on June 4, 2006 and is currently active in the NPPES registry.
What is the specialty of Innovative Vascular Group?
Innovative Vascular Group is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA06756800.
Where does Innovative Vascular Group practice?
The practice location is 142 Highway 35, Suite 106A, Eatontown, NJ 07724-3427. The office can be reached at 732-380-1222 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477591006 directly on the NPPES registry website.