| NPI | 1992761621 |
|---|---|
| Doing Business As | NORTHERN VASCULAR LAB |
| Entity Type | Organization |
| Authorized Contact | FRANCINE BARGERON Director Einstein Practice Plan Inc 215-456-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2007-11-01 |