| NPI | 1851722730 |
|---|---|
| Doing Business As | PENINSULA VEIN AND LASER CENTER |
| Entity Type | Organization |
| Authorized Contact | ERNEST MICHAEL GINALIS President 732-229-8486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |