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General NPI Number Information
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NPI Number | 1922928605
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC VASCULAR OF NEW JERSEY
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 310 CENTRAL AVE STE 109
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City | EAST ORANGE
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State | NJ
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Zip | 07018-2853
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Country | US
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Telephone | 917-816-8831
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Fax | 718-274-5207
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Provider Business Mailing Address
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Address Line | 3825 ASTORIA BLVD
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City | ASTORIA
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State | NY
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Zip | 11103-3608
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Country | US
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Telephone | 718-274-5300
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Fax | 718-274-5207
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTOPHER KYRIAKIDES
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Credential | D.O.
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Telephone | 917-816-8831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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