Provider Demographics
NPI:1083204176
Name:NJ VEIN CLINICS
Entity Type:Organization
Organization Name:NJ VEIN CLINICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MESSIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-437-0216
Mailing Address - Street 1:NJ VEIN CLINICS
Mailing Address - Street 2:583 BROADWAY
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07514
Mailing Address - Country:US
Mailing Address - Phone:973-437-0216
Mailing Address - Fax:973-992-1993
Practice Address - Street 1:NJ VEIN CLINICS
Practice Address - Street 2:583 BROADWAY
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07514
Practice Address - Country:US
Practice Address - Phone:973-437-0216
Practice Address - Fax:973-992-1993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service