NPI | 1235779877 |
---|---|
Doing Business As | PREMIER VEIN CARE OF N.J., L.L.C. |
Entity Type | Organization |
Authorized Contact | RANY SALEH Physician 732-718-7670 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
261QM2500X Clinic/Center, Medical Specialty | |
261QP1100X Clinic/Center, Podiatric | |
Enumeration Date | 2020-01-12 |
Last Update Date | 2020-01-12 |