Downtown Vein and Vascular of Penn PLLC
Organization Active NPI Vascular & Interventional Radiology Physician · Palisades Park, NJ
NPI 1346067642 · NPPES record last updated Sep 26, 2024
Key facts
- NPI
- 1346067642
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Vascular & Interventional Radiology Physician 2085R0204X
- Legal business name
- DOWNTOWN VEIN AND VASCULAR OF PENN PLLC
- Practice address
- 40 E Oakdene Ave Unit a
Palisades Park, NJ 07650-1630 - Phone
- (718) 393-5559
- NPI assigned
- Sep 26, 2024
- Organization subpart
- No
Authorized official
- Name
- Sergei Sobolevsky
- Title
- Owner
- Phone
- (929) 924-6024
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician |
2085R0204X | Yes |
Addresses
Primary practice location
40 E Oakdene Ave Unit a
Palisades Park, NJ 07650-1630
Mailing address
40 E Oakdene Ave Unit a
Palisades Park, NJ 07650-1630
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2024. 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.