Innovative Vascular Group in Holmdel - Specialist
Innovative Vascular Group - NPI 1477591006
Innovative Vascular Group is a Specialist in Holmdel, New Jersey. Innovative Vascular Group practices all healthcare services and medical treatments related to Specialist. The NPI Number for Innovative Vascular Group is 1477591006. The last update date is 2007-09-13.
Innovative Vascular Group's current location address is 4 Crape Myrtle Dr, Holmdel, New Jersey. You can contact this provider via phone number 7323801222. The mailing address for Innovative Vascular Group is 4 Crape Myrtle Dr, Holmdel, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Innovative Vascular Group |
|---|---|
| Address | 4 Crape Myrtle Dr, Holmdel, New Jersey |
| Phone Number | 7323801222 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ciervo Alfonso |
| Credentials | MD |
| Telephone Number | 7323801222 |
NPI Number Detail
| NPI Number | 1477591006 |
|---|---|
| Provider Enumeration Date | 2006-06-04 |
| Last Updated Date | 2007-09-13 |
Provider Mailing Address Detail
| Address | 4 Crape Myrtle Dr |
|---|---|
| City | Holmdel |
| State | New Jersey (NJ) |
| Post Code | 77331529 |
| Phone Number | 7323801222 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 25MA06756800 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2371188001 | NJ | AMERIHEALTH GROUP # | |
| DC4342 | NJ | RAILROAD MEDICARE GROUP# |
Post Comment/ Review Below
What is the unique identifier code issued to Innovative Vascular Group by the Centers for Medicare & Medicaid Services (CMS)?
The Innovative Vascular Group has been assigned the NPI (National Provider Identifier) 1477591006. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Innovative Vascular Group is physically located?
The Innovative Vascular Group is physically situated at the following address: 4 Crape Myrtle Dr, Holmdel, NJ, 77331529.
What is the Innovative Vascular Group's area of specialization and corresponding taxonomy classification?
The Innovative Vascular Group's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Innovative Vascular Group receive the assignment of its 1477591006 from the Centers for Medicare & Medicaid Services?
The Innovative Vascular Group was issued its 1477591006 by the Centers for Medicare & Medicaid Services on 2006-06-04.
As of what date was the information regarding Innovative Vascular Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Innovative Vascular Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-13.
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