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1477591006
INNOVATIVE VASCULAR GROUP
EATONTOWN, NJ
NPI
1477591006
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Entity Type
Organization
Authorized Contact
ALFONSO CIERVO
Owner
732-380-1222
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NJ 25MA06756800)
Enumeration Date
2006-06-04
Last Update Date
2007-09-13
Business Address
INNOVATIVE VASCULAR GROUP
142 HIGHWAY 35 SUITE 106A
EATONTOWN, NJ 07724-3427
Phone number: 732-380-1222
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Mailing Address
INNOVATIVE VASCULAR GROUP
4 CRAPE MYRTLE DR
HOLMDEL, NJ 07733-1529
Phone number: 732-380-1222
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