Vantage Healthcare Inc | |
9 Lewis Rd Kittery ME 03904-5410 | |
(781) 867-2050 | |
Not Available |
Full Name | Vantage Healthcare Inc |
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Speciality | Internal Medicine |
Location | 9 Lewis Rd, Kittery, Maine |
Authorized Official Name and Position | Vishal Kuchaculla (OWNER) |
Authorized Official Contact | 7818672050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vantage Healthcare Inc 45 Dan Rd Canton MA 02021-2852 Ph: (781) 867-2050 | Vantage Healthcare Inc 9 Lewis Rd Kittery ME 03904-5410 Ph: (781) 867-2050 |
NPI Number | 1386474625 |
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Provider Enumeration Date | 08/02/2024 |
Last Update Date | 09/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386474625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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