Healthcare Provider Details
I. General information
NPI: 1740948256
Provider Name (Legal Business Name): VEIN AND VASCULAR LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/01/2021
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
629 N WOOD AVE STE 4
LINDEN NJ
07036-4193
US
IV. Provider business mailing address
629 N WOOD AVE STE 4
LINDEN NJ
07036-4193
US
V. Phone/Fax
- Phone: 973-437-0216
- Fax: 973-992-1993
- Phone: 973-437-0216
- Fax: 973-992-1993
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 246XC2903X |
| Taxonomy | Vascular Specialist/Technologist Cardiovascular |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HEATHER
MESSIAS
Title or Position: PRACTICE MANAGER
Credential:
Phone: 973-437-0216