Provider Demographics
NPI:1104859826
Name:PHLEBOLOGY ASSOCIATES PA
Entity Type:Organization
Organization Name:PHLEBOLOGY ASSOCIATES PA
Other - Org Name:ASHTON VEIN CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAN
Authorized Official - Prefix:
Authorized Official - First Name:OWEN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:ASHTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-630-6800
Mailing Address - Street 1:4060 PGA BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6574
Mailing Address - Country:US
Mailing Address - Phone:561-630-6800
Mailing Address - Fax:
Practice Address - Street 1:4060 PGA BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-6574
Practice Address - Country:US
Practice Address - Phone:561-630-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty