| Vital Iv Infusions | |
|
159 Main St Chatham NJ 07928-2415 | |
| (856) 712-3505 | |
| Not Available |
| Full Name | Vital Iv Infusions |
|---|---|
| Speciality | Clinic/Center |
| Location | 159 Main St, Chatham, New Jersey |
| Authorized Official Name and Position | Tejash Shah (OWNER) |
| Authorized Official Contact | 8567123505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Iv Infusions 159 Main St Chatham NJ 07928-2415 Ph: (856) 712-3505 | Vital Iv Infusions 159 Main St Chatham NJ 07928-2415 Ph: (856) 712-3505 |
| NPI Number | 1902526635 |
|---|---|
| Provider Enumeration Date | 09/01/2022 |
| Last Update Date | 02/17/2023 |
| Certification Date | 02/17/2023 |
| Medicare PECOS PAC ID | 2163807595 |
|---|---|
| Medicare Enrollment ID | O20220920003731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902526635 | NPI | - | NPPES |
| Provider Name | Saiyai P. Hanson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215207055 PECOS PAC ID: 5193986255 Enrollment ID: I20120417000276 |
| Provider Name | Tejash Shah |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194176800 PECOS PAC ID: 3971898826 Enrollment ID: I20160817001441 |
| Provider Name | Mamie Jenneh Bayoh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609395086 PECOS PAC ID: 7517223324 Enrollment ID: I20171110002796 |
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