OrganizationActive
Modern Vein Providers, PLLC
NPI 1346010527 · Vascular & Interventional Radiology Physician · Waterford, CT
Provider details
- NPI number
- 1346010527
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jiyong Ahn, Doctor(860) 574-3423
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
903 Hartford Tpke
Waterford, CT 06385-4264
Phone: (860) 574-3423
Fax: (860) 222-9082
Approximate (ZIP-level) locationGet directions
Mailing address
903 Hartford Tpke
Waterford, CT 06385-4264
Registry dates
- Enumerated
- 2024-01-08
- Last updated
- 2024-01-08
- Certified
- 2024-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.