Provider Demographics
NPI:1205865086
Name:BOSTON VASCULAR CENTER, L.L.C.
Entity Type:Organization
Organization Name:BOSTON VASCULAR CENTER, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:SVIGALS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-482-2800
Mailing Address - Street 1:225 STATE ROUTE 35
Mailing Address - Street 2:SUITE 208
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5919
Mailing Address - Country:US
Mailing Address - Phone:732-383-4160
Mailing Address - Fax:732-383-4161
Practice Address - Street 1:340 WOOD RD
Practice Address - Street 2:SUITE 204
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-2401
Practice Address - Country:US
Practice Address - Phone:732-996-8026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology