VITAMED FAMILY PRACTICE; NPI #1962575167

Contact Information

VITAMED FAMILY PRACTICE

3000 KENNEDY BLVD
SUITE 308
JERSEY CITY, NJ 07306

Phone: 201-963-0800
Fax: 201-656-6934
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Adolescent Medicine	207QA0000X	08	Physician/Family Practice
Legal Medicine	173000000X

Indicates primary specialty

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NPI Profile & details for VITAMED FAMILY PRACTICE

NPI # 1962575167

LBN Legal business name VITAMED FAMILY PRACTICE

Authorized official TADEUSZ MAJCHRZAK - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/16/2006

Last updated 05/11/2018 - About 8 years ago

Identifiers

License #

MA5867500

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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