| Ridgewood Vein & Laser Center Llc | |
|
38 Oak St Ridgewood NJ 07450-3875 | |
| (914) 445-4410 | |
| Not Available |
| Full Name | Ridgewood Vein & Laser Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 38 Oak St, Ridgewood, New Jersey |
| Authorized Official Name and Position | Arlen Fleisher (OWNER) |
| Authorized Official Contact | 9147142805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgewood Vein & Laser Center Llc 38 Oak St Ridgewood NJ 07450-3875 Ph: (914) 445-4410 | Ridgewood Vein & Laser Center Llc 38 Oak St Ridgewood NJ 07450-3875 Ph: (914) 445-4410 |
| NPI Number | 1154048114 |
|---|---|
| Provider Enumeration Date | 10/20/2022 |
| Last Update Date | 10/20/2022 |
| Medicare PECOS PAC ID | 2365812567 |
|---|---|
| Medicare Enrollment ID | O20230104002683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154048114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Arlen G Fleisher |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1922043264 PECOS PAC ID: 0143323162 Enrollment ID: I20230210000567 |
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