Dmac Vascular Lab LLC
NPI #1023774031 in Glen Ridge, New Jersey
Provider Information
- NPI Number
- 1023774031
- Entity Type
- Organization
- Organization Name
- Dmac Vascular Lab LLC
- Primary Specialty
- Radiology - Vascular & Interventional Radiology
- Enumeration Date
- Nov 14, 2021
- Last Updated
- Nov 14, 2021
Practice Location
- Address
- 946 BLOOMFIELD AVE LOWR LEVEL
- City
- Glen Ridge
- State
- New Jersey
- ZIP Code
- 07028-1308
- Phone
- (973) 743-1121
Authorized Official
- Name
- JOSEPH DEGREGORIO, MD
- Title
- PRESIDENT
- Phone
- (215) 939-0668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology |
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