Healthcare Provider Details

I. General information

NPI: 1700124435
Provider Name (Legal Business Name): VEIN INSTITUTE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2013
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 CHURCH HILL RD
NEWTOWN CT
06470-1612
US

IV. Provider business mailing address

33 CHURCH HILL RD
NEWTOWN CT
06470-1612
US

V. Phone/Fax

Practice location:
  • Phone: 203-426-1818
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALIREZA AFSHAR
Title or Position: PHYSICIAN/OWNER
Credential: M.D.
Phone: 203-426-5554