| Vital Medical Forces Of Dover Pc | |
|
400 West Blackwell St Dover NJ 07801 | |
| (973) 989-3085 | |
| (973) 989-3106 |
| Full Name | Vital Medical Forces Of Dover Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 West Blackwell St, Dover, New Jersey |
| Authorized Official Name and Position | Mary L Carlson (OFFICE MANAGER) |
| Authorized Official Contact | 9739893085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Medical Forces Of Dover Pc Po Box 37 Denville NJ 07834 Ph: (973) 989-3085 | Vital Medical Forces Of Dover Pc 400 West Blackwell St Dover NJ 07801 Ph: (973) 989-3085 |
| NPI Number | 1720007701 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 08/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720007701 | NPI | - | NPPES |
| 0098485 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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