OrganizationActive
Advanced Vascular Associates, Inc.
NPI 1154402154 · Surgery Physician · Woodbury, NJ
Provider details
- NPI number
- 1154402154
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kent Haas, Owner/President(856) 845-5344
- License
- MD032074E (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
127 N Broad St
Woodbury, NJ 08096-1718
Phone: (856) 845-5344
Fax: (856) 384-8757
Approximate (ZIP-level) locationGet directions
Mailing address
127 N Broad St
Woodbury, NJ 08096-1718
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.