Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Vascular Group

Organization Specialist · NPI 1477591006

Innovative Vascular Group is a Specialist in Eatontown, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006

Practice location Address checks out

142 Highway 35 Ste 106A
Eatontown, NJ 07724-3427
Phone: (732) 380-1222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 25MA06756800 (NJ)

Record details

NPI number1477591006
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alfonso Ciervo — Owner · (732) 380-1222
NPI enumeratedJune 4, 2006
Last updated in NPPESSeptember 13, 2007
Mailing address4 Crape Myrtle Dr, Holmdel, NJ 07733-1529

Other providers in Eatontown