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Organization
VAULT MEDICAL SERVICES OF NEW JERSEY PC
Active
Organization
VAULT MEDICAL SERVICES OF NEW JERSEY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER WOJCIECH PASTUSZAK MD PHD (CHIEF MEDICAL OFFICER/OWNER)
(929) 388-1551
Entity
Organization
Contact information
Practice address
211 ESSEX ST STE 406, HACKENSACK, NJ 07601-3231
(929) 388-1551
Mailing address
PO BOX 1012, WHITE PLAINS, NY 10602-1012
(929) 388-1551
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/16/2021
Last updated
02/08/2024
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