Active NPIOrganization

Eastern Vascular LLC

Internal Medicine in Denville, New Jersey

NPI Number1609960418
Practice location
16 Pocono RD, Suite 313, Denville, NJ 07834-2901
Fax
973-625-0721
Last updated
June 8, 2011

Eastern Vascular LLC is a healthcare organization based in Denville, NJ. Eastern Vascular LLC practices in Denville, NJ. The NPI Number for Eastern Vascular LLC is 1609960418. The current practice location address for Eastern Vascular LLC is 16 Pocono RD, Suite 313, Denville, NJ 07834-2901 and can be reached out via phone at 973-625-0112 and via fax at 973-625-0721.

Provider Profile Details

NPI Number
1609960418
Provider Name
Eastern Vascular LLC
Provider Entity Type
Organization
Address
16 Pocono RD, Suite 313, Denville, NJ 07834-2901
Phone Number
973-625-0112
Fax Number
973-625-0721
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Dr. Bruce Lee Mintz, DO · President · 973-625-0112
Provider Enumeration Date
October 3, 2006
Last Update Date
June 8, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Pocono RD
Suite 313
Denville, NJ 07834-2901
Zip
07834-2901
Phone Number
973-625-0112
Fax Number
973-625-0721
Denville, NJ 07834Get directions →

Provider Business Mailing Address Details

Address
16 Pocono RD
Suite 313
Denville, NJ 07834-2901
City
Denville
State
NJ
Zip
07834-2901
Phone Number
973-625-0112
Fax Number
973-625-0721

License Information

Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Eastern Vascular LLC?

The NPI number of Eastern Vascular LLC is 1609960418. It was assigned on October 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Eastern Vascular LLC?

Eastern Vascular LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X).

Where does Eastern Vascular LLC practice?

The practice location is 16 Pocono RD, Suite 313, Denville, NJ 07834-2901. The office can be reached at 973-625-0112 (phone) or 973-625-0721 (fax).

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 1609960418 directly on the NPPES registry website.

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