| Vytalize Health Medical 2 Llc | |
|
2 Hudson Pl Fl 6 Hoboken NJ 07030-5594 | |
| (201) 205-2628 | |
| Not Available |
| Full Name | Vytalize Health Medical 2 Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Hudson Pl Fl 6, Hoboken, New Jersey |
| Authorized Official Name and Position | Faris Ghawi (CEO) |
| Authorized Official Contact | 2022866666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vytalize Health Medical 2 Llc 2 Hudson Pl Fl 6 Hoboken NJ 07030-5594 Ph: (201) 205-2628 | Vytalize Health Medical 2 Llc 2 Hudson Pl Fl 6 Hoboken NJ 07030-5594 Ph: (201) 205-2628 |
| NPI Number | 1720554348 |
|---|---|
| Provider Enumeration Date | 10/22/2018 |
| Last Update Date | 08/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720554348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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