OrganizationActive
Goshen Surgical Associates, Inc.
NPI 1093823908 · Vascular Surgery Physician · Goshen, IN
Provider details
- NPI number
- 1093823908
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- John Harley, Vice President
- License
- 50001564A (IN)
Practice location
101 Marilyn Ave
Suite 4
Goshen, IN 46526-4800
Phone: (574) 533-2769
Fax: (574) 534-6822
Mailing address
101 Marilyn Ave
Goshen, IN 46526-4800
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2011-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.