Vytalize Health Oh Aco Llc | |
2 Hudson Pl Hoboken NJ 07030-5594 | |
(201) 205-2628 | |
Not Available |
Full Name | Vytalize Health Oh Aco Llc |
---|---|
Speciality | Internal Medicine |
Location | 2 Hudson Pl, Hoboken, New Jersey |
Authorized Official Name and Position | Faris Ghawi (OWNER) |
Authorized Official Contact | 2012052628 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vytalize Health Oh Aco Llc 2 Hudson Pl Hoboken NJ 07030-5594 Ph: (201) 205-2628 | Vytalize Health Oh Aco Llc 2 Hudson Pl Hoboken NJ 07030-5594 Ph: (201) 205-2628 |
NPI Number | 1669119368 |
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Provider Enumeration Date | 05/16/2022 |
Last Update Date | 05/16/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669119368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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