Provider Demographics
NPI:1245409119
Name:USA VEIN CLINICS P.C
Entity Type:Organization
Organization Name:USA VEIN CLINICS P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:MATA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-877-8752
Mailing Address - Street 1:12 STONEHEDGE RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:MA
Mailing Address - Zip Code:01773-5202
Mailing Address - Country:US
Mailing Address - Phone:262-877-8752
Mailing Address - Fax:262-877-2632
Practice Address - Street 1:12 STONEHEDGE RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:MA
Practice Address - Zip Code:01773-5202
Practice Address - Country:US
Practice Address - Phone:262-877-8752
Practice Address - Fax:262-877-2632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2096232086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty