Cosmetic Vein Center, LLC
NPI #1376662312 in Ridgewood, New Jersey
Provider Information
- NPI Number
- 1376662312
- Entity Type
- Organization
- Organization Name
- Cosmetic Vein Center, LLC
- Primary Specialty
- Surgery - Vascular Surgery
- Enumeration Date
- Mar 29, 2007
- Last Updated
- Oct 4, 2007
Practice Location
- Address
- 265 ACKERMAN AVE
- Address 2
- SUITE 203
- City
- Ridgewood
- State
- New Jersey
- ZIP Code
- 07450-4200
- Phone
- (201) 445-8820
Authorized Official
- Name
- MRS. DIANE FRANCES CHUBACK, PH.D.
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (201) 445-8820
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Vascular Surgery — Vascular Surgery |
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