| Vineland Medical Associates Pa | |
|
1100 E Chestnut Ave Vineland NJ 08360-5002 | |
| (856) 696-0108 | |
| (856) 691-1106 |
| Full Name | Vineland Medical Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1100 E Chestnut Ave, Vineland, New Jersey |
| Authorized Official Name and Position | Narasimhaloo Venugopal (PRESIDENT) |
| Authorized Official Contact | 8566960108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vineland Medical Associates Pa 1100 E Chestnut Ave Vineland NJ 08360-5002 Ph: (856) 696-0108 | Vineland Medical Associates Pa 1100 E Chestnut Ave Vineland NJ 08360-5002 Ph: (856) 696-0108 |
| NPI Number | 1558367441 |
|---|---|
| Provider Enumeration Date | 06/24/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558367441 | NPI | - | NPPES |
| 2231287739 | Other | TIN | |
| 2875501 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA02825000 (New Jersey) | Primary |
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