MEDICARE: VASCULAR ACCESS SPECIALISTS

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
1	251F00000X	Home Infusion Agency

General Provider Information

NPI Number	:	1437595360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VASCULAR ACCESS SPECIALISTS

Provider Business Mailing Address
First Line	:	1155 LIVINGSTON AVE APT 14
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-1862
Country	:	US
Telephone Number	:	848-565-7072
Fax Number	:

Provider Business Practice Location Address
First Line	:	1155 LIVINGSTON AVE APT 14
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-1862
Country	:	US
Telephone Number	:	848-565-7072
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. KAREME KENNEY
Credential	:
Telephone Number	:	848-565-7072

Provider Enumeration Date	:	05/19/2013
Last Update Date	:	05/19/2013

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