OrganizationActive
Peripheral Vascular Institute of Philadelphia LLC
NPI 1396074480 · Vascular-Interventional Technology Radiologic Technologist · Philadelphia, PA
Provider details
- NPI number
- 1396074480
- Entity type
- Organization
- Primary specialty
- Vascular-Interventional Technology Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Authorized official
- James Mcguckin, Ceo
Practice location
4220 Market St
2nd Floor
Philadelphia, PA 19104-3007
Phone: (215) 382-3680
Fax: (215) 382-3683
Mailing address
4220 Market St Fl 2
Philadelphia, PA 19104-3007
Registry dates
- Enumerated
- 2009-12-18
- Last updated
- 2020-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.