Provider Demographics
NPI:1396507299
Name:LEGS PAIN AND VEINS LLC
Entity type:Organization
Organization Name:LEGS PAIN AND VEINS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MESSIAS
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:954-684-1261
Mailing Address - Street 1:239 NEW RD STE C302
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-5643
Mailing Address - Country:US
Mailing Address - Phone:954-684-1261
Mailing Address - Fax:
Practice Address - Street 1:629 N WOOD AVE
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-4193
Practice Address - Country:US
Practice Address - Phone:954-684-1261
Practice Address - Fax:973-992-1993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound