Modern Vein Providers, PLLC
Modern Vein Providers, PLLC is a Vascular & Interventional Radiology Physician in Waterford, Connecticut. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
903 Hartford TpkeWaterford, CT 06385-4264
Phone: (860) 574-3423
Fax: (860) 222-9082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Vascular & Interventional Radiology Physician (primary) | Taxonomy 2085R0204X |
|---|
Record details
| NPI number | 1346010527 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jiyong Ahn — Doctor · (860) 574-3423 |
| NPI enumerated | January 8, 2024 |
| Last updated in NPPES | January 8, 2024 |
| Certification date | January 8, 2024 |
| Mailing address | 903 Hartford Tpke, Waterford, CT 06385-4264 |