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Organization
VIVANT MEDICAL CARE PC
Active
Organization
VIVANT MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR KHALIL MD (PRESIDENT)
(201) 282-7556
Entity
Organization
Contact information
Practice address
1025 LINDEN AVE, RIDGEFIELD, NJ 07657-1006
(201) 282-7556
Mailing address
1025 LINDEN AVE, RIDGEFIELD, NJ 07657-1006
(201) 282-7556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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