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Organization
VITA MEDICAL CENTER, PC
Active
Organization
VITA MEDICAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MELSKY MD (DOCTOR)
(973) 692-9631
Entity
Organization
Contact information
Practice address
87 BERDAN AVE STE 2B, WAYNE, NJ 07470-3210
(973) 692-9631
(973) 692-1112
Mailing address
87 BERDAN AVE STE 2B, WAYNE, NJ 07470-3210
(973) 692-9631
(973) 692-1112
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA 67715
NJ
2085R0202X
Diagnostic Radiology Physician
MA56945
NJ
Other
Enumeration date
12/04/2006
Last updated
06/16/2010
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