| Vital Medical Care, Llc | |
|
212 W Route 38 Ste 540 Moorestown NJ 08057-3246 | |
| (856) 787-0260 | |
| (856) 787-0262 |
| Full Name | Vital Medical Care, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 212 W Route 38 Ste 540, Moorestown, New Jersey |
| Authorized Official Name and Position | Nishith M Gami (PHYSICIAN) |
| Authorized Official Contact | 8567870260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Medical Care, Llc 203 Eclipse Dr Bordentown NJ 08505-2255 Ph: () - | Vital Medical Care, Llc 212 W Route 38 Ste 540 Moorestown NJ 08057-3246 Ph: (856) 787-0260 |
| NPI Number | 1598995441 |
|---|---|
| Provider Enumeration Date | 07/24/2009 |
| Last Update Date | 07/27/2023 |
| Medicare PECOS PAC ID | 4789930173 |
|---|---|
| Medicare Enrollment ID | O20180627000357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598995441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA06796000 (New Jersey) | Primary |
| Provider Name | Nishith M Gami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295786440 PECOS PAC ID: 8729005004 Enrollment ID: I20051026000411 |
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