NPI | 1902273709 |
---|---|
Former Legal Business Name | VASCULARONE, LLC |
Entity Type | Organization |
Authorized Contact | JOSEPH RICOTTA Agent/Manager 470-355-3053 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: GA 064452) |
Enumeration Date | 2015-08-27 |
Last Update Date | 2015-09-24 |