NPI 1790056521

New Jersey Phlebology PC

Organisation Phlebology Physician Morristown, NJ

Practice location

Address: 55 Madison Ave Suite 400, Morristown, NJ 07960-7337
Phone: (630) 725-2730
Fax: (877) 219-4810
Mailing address: 1901 Butterfield Rd 220, Downers Grove, IL 60515-7915

Authorised official

Name: J Theodore King
Title: Owner
Phone: (630) 725-2768

Registered specialties

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X

Other Phlebology providers in New Jersey →

Registry record

NPI: 1790056521
Entity type: Organization
NPI issued: 25 Jan 2012
Record last updated: 25 Jan 2012

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.