Provider Demographics
NPI:1316611924
Name:PRECISION VEIN CARE PLLC
Entity type:Organization
Organization Name:PRECISION VEIN CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:GUZZO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-952-7091
Mailing Address - Street 1:1000 WALNUT ST STE 116
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-1147
Mailing Address - Country:US
Mailing Address - Phone:267-627-1500
Mailing Address - Fax:267-627-1501
Practice Address - Street 1:1000 WALNUT ST STE 116
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-1147
Practice Address - Country:US
Practice Address - Phone:267-627-1500
Practice Address - Fax:267-627-1501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-06
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty