OrganizationActive
Laser and Vein Treatment Center
NPI 1114565934 · Vascular & Interventional Radiology Physician · Hackensack, NJ
Provider details
- NPI number
- 1114565934
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Benjamin Yam, MD(201) 870-0033
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
165 Main St
Hackensack, NJ 07601-7124
Phone: (516) 851-4211
Fax: (219) 300-5903
Approximate (ZIP-level) locationGet directions
Mailing address
165 Main St
Hackensack, NJ 07601-7124
Registry dates
- Enumerated
- 2019-12-11
- Last updated
- 2020-03-09
- Certified
- 2020-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.