| Vault Medical Services Of New Jersey Pc | |
|
211 Essex St Ste 406 Hackensack NJ 07601-3231 | |
| (929) 388-1551 | |
| Not Available |
| Full Name | Vault Medical Services Of New Jersey Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 211 Essex St Ste 406, Hackensack, New Jersey |
| Authorized Official Name and Position | Alexander Wojciech Pastuszak (CHIEF MEDICAL OFFICER/OWNER) |
| Authorized Official Contact | 9293881551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vault Medical Services Of New Jersey Pc Po Box 1012 White Plains NY 10602-1012 Ph: (929) 388-1551 | Vault Medical Services Of New Jersey Pc 211 Essex St Ste 406 Hackensack NJ 07601-3231 Ph: (929) 388-1551 |
| NPI Number | 1073102778 |
|---|---|
| Provider Enumeration Date | 01/16/2021 |
| Last Update Date | 02/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073102778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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