NPI 1063840239

Hackensack Vascular Specialists LLC

Organisation Specialist Hackensack, NJ

Practice location

Address: 211 Essex St STE 102, Hackensack, NJ 07601-3244
Phone: (201) 487-8882
Fax: (201) 487-0943

Authorised official

Name: Gregory Simonian
Title: President
Phone: (201) 487-8882

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 25MB08446100 (NJ)

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Registry record

NPI: 1063840239
Entity type: Organization
NPI issued: 24 Oct 2013
Record last updated: 17 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.