GENESIS VASCULAR OF LEHIGH VALLEY, LLC

EASTON, PA
NPI1184002586
Doing Business AsGV OF LEHIGH VALLEY
Entity TypeOrganization
Authorized ContactJAMES THOMAS O'DARE
Principal
215-630-4909
Organization Subpart ?Yes
Primary Taxonomy207RI0011X Internal Medicine Interventional Cardiology
Additional Taxonomies207RC0000X Internal Medicine Cardiovascular Disease
2085R0204X Radiology Vascular & Interventional Radiology
2086S0129X Surgery Vascular Surgery
Enumeration Date2015-05-18
Last Update Date2015-05-18
Business Address
GENESIS VASCULAR OF LEHIGH VALLEY, LLC
2111 WASHINGTON BLVD STE 1
EASTON, PA 18042-3803
Phone number: 484-544-4160
Mailing Address
GENESIS VASCULAR OF LEHIGH VALLEY, LLC
575 N ROUTE 73 STE A6
WEST BERLIN, NJ 08091-2440
Phone number: 856-335-5025