Provider Demographics
NPI:1982085254
Name:VEINISHING PA
Entity Type:Organization
Organization Name:VEINISHING PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:LUKASZ
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-355-8346
Mailing Address - Street 1:335 E LINTON BLVD
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-5023
Mailing Address - Country:US
Mailing Address - Phone:561-355-8346
Mailing Address - Fax:
Practice Address - Street 1:335 E LINTON BLVD
Practice Address - Street 2:SUITE 2249
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-5023
Practice Address - Country:US
Practice Address - Phone:916-585-3625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-12
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1211492085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty