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Organization
VANCE MEDICAL GROUP
Active
Organization
VANCE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOURAV SEN MD (AUTH REP)
(973) 653-8076
Entity
Organization
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2000
Mailing address
98 GEORGE ST, TENAFLY, NJ 07670-2011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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