OrganizationActive
Cosmetic Vein Center, LLC
NPI 1376662312 · Vascular Surgery Physician · Ridgewood, NJ
Provider details
- NPI number
- 1376662312
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Diane Chuback, Practice Administrator(201) 445-8820
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
265 Ackerman Ave
Suite 203
Ridgewood, NJ 07450-4200
Phone: (201) 445-8820
Fax: (201) 445-8850
Approximate (ZIP-level) locationGet directions
Mailing address
265 Ackerman Avenue
Ridgewood, NJ 07450-0745
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2007-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.