| NPI | 1053334276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN ERIK TONNESSEN President 908-788-1710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202K00000X Phlebology |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2025-03-28 |