Vantage Health System | |
2 Park Ave Dumont NJ 07628-3004 | |
(201) 385-4400 | |
(201) 384-7067 |
Full Name | Vantage Health System |
---|---|
Speciality | Community/behavioral Health |
Location | 2 Park Ave, Dumont, New Jersey |
Authorized Official Name and Position | David Griffith (CEO) |
Authorized Official Contact | 2013854400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vantage Health System 2 Park Ave Dumont NJ 07628-3004 Ph: (201) 385-4400 | Vantage Health System 2 Park Ave Dumont NJ 07628-3004 Ph: (201) 385-4400 |
NPI Number | 1073637179 |
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Provider Enumeration Date | 03/16/2007 |
Last Update Date | 09/11/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073637179 | NPI | - | NPPES |
0084824 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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