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NPI Code Detail

MEDICARE: TOTAL VASCULAR CARE PLLC

MEDICARE: TOTAL VASCULAR CARE PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0129XVascular Surgery Physician

General Provider Information

NPI Number : 1912275215
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOTAL VASCULAR CARE PLLC
Provider Business Mailing Address
First Line : 960 50TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-3399
Country : US
Telephone Number : 718-438-3800
Fax Number :
Provider Business Practice Location Address
First Line : 960 50TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-3399
Country : US
Telephone Number : 718-438-3800
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ENRICO ASCHER
Credential : MD
Telephone Number : 718-438-3800
Provider Enumeration Date : 12/01/2011
Last Update Date : 12/01/2011

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