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ADVANCED VEIN CARE LLC NPI 1174601462


NPI Information

NPI: 1174601462
Provider Name: ADVANCED VEIN CARE, LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
355 ATLANTIC CITY BLVD
SUITE 1
BAYVILLE, NJ
ZIP 08721
Phone: (732) 269-1133
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ADVANCED VEIN CARE, LLC is a vascular surgery surgery in Bayville, NJ. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. ADVANCED VEIN CARE, LLC NPI is 1174601462. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

355 ATLANTIC CITY BLVD
SUITE 1
BAYVILLE, NJ
ZIP 08721-292
Phone: (732) 269-1133
Fax: (732) 269-7675

The provider's authorized official is Michael G Kachmar .
The authorized official title is Director and has the following contact phone number (732) 269-1133.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryNEW JERSEYYes
2213ES0103XPodiatristFoot & Ankle Surgery25MD00154800NEW JERSEYX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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