Advanced Vein & Vascular Center, Inc.
Organization Active NPI Specialist · Wayne, PA
NPI 1295953719 · NPPES record last updated Apr 11, 2011
Key facts
- NPI
- 1295953719
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- MD022004E (PA)
- Legal business name
- ADVANCED VEIN & VASCULAR CENTER, INC.
- Practice address
- 744 W Lancaster Ave
Suite 225, Devon Square II
Wayne, PA 19087-2523 - Phone
- (610) 687-5347
- Fax
- (610) 933-8104
- NPI assigned
- Apr 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Ralph Anthony Carabasi III, M. D.
- Title
- President & Medical Director
- Phone
- (610) 687-5347
National Provider Directory
Locations
744 Lancaster Ave
Ste 225
Wayne, PA 19087
Phone (610) 687-5347
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | MD022004E | PA | Yes |
Addresses
Primary practice location
744 W Lancaster Ave
Suite 225, Devon Square II
Wayne, PA 19087-2523
Mailing address
744 W Lancaster Ave
Suite 225, Devon Square II
Wayne, PA 19087-2523
Phone (610) 687-5347
Other providers in Wayne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.