Innovative Vascular Group

LBN: Innovative Vascular Group
Innovative Vascular Group is an health care organization with primary practice located at 142 Highway 35 Suite 106A, Eatontown NJ 07724-3427. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Innovative Vascular Group can be contacted via phone (732) 380-1222, or through Ciervo, Alfonso via phone (732) 380-1222.

Contact Information

Primary practice address
142 Highway 35 Suite 106A Eatontown NJ 07724-3427
Phone: (732) 380-1222
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ciervo, Alfonso Doctor of Medicine (MD)
Phone: (732) 380-1222

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA06756800 New Jersey

Profile Details

NPI number 1477591006
LBN Legal business name Innovative Vascular Group
DBA Doing business as
Authorized official Ciervo, Alfonso Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated Sep 13th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477591006 NPPES
New Jersey Other 2371188001 AMERIHEALTH GROUP #
New Jersey Other DC4342 AMERIHEALTH GROUP #

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