Modern Vein Providers, Pllc
NPI #1346010527 in Waterford, Connecticut
Provider Information
- NPI Number
- 1346010527
- Entity Type
- Organization
- Organization Name
- Modern Vein Providers, Pllc
- Primary Specialty
- Radiology - Vascular & Interventional Radiology
- Enumeration Date
- Jan 8, 2024
- Last Updated
- Jan 8, 2024
Practice Location
- Address
- 903 HARTFORD TPKE
- City
- Waterford
- State
- Connecticut
- ZIP Code
- 06385-4264
- Phone
- (860) 574-3423
Authorized Official
- Name
- JIYONG AHN, MD
- Title
- DOCTOR
- Phone
- (860) 574-3423
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology |
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