Organization Name: | ADVANCED VEIN & VASCULAR CENTER, INC. |
NPI Number: | 1295953719 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RALPH ANTHONY CARABASI (PRESIDENT & MEDICAL DIRECTOR) |
Mailing Address: | 744 W Lancaster Ave Suite 225, Devon Square Ii Wayne |
State: | PA US |
Postal Code: | 190872523 |
Phone Number: | 6106875347 |
Fax Number: | 6109338104 |
NPI Enumeration Date: | 04/22/2007 |
NPI Last Update Date: | 04/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD022004E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy 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. |