# VSH MEDICAL & DIAGNOSTIC CENTER, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457796492
- **Authorized official:** DR. EMILE I RANGEL M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (201) 868-8686

## Contact information

- **Practice address:** 6804 BERGENLINE AVE, GUTTENBERG, NJ 07093-1826
- **Practice address phone:** (201) 868-8686
- **Practice address fax:** (201) 868-0086
- **Mailing address:** 6804 BERGENLINE AVE, GUTTENBERG, NJ 07093-1826
- **Mailing address phone:** (201) 868-8686
- **Mailing address fax:** (201) 868-0086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | MA066179 | NJ | Yes |

## Other

- **Enumeration date:** 05/03/2013
- **Last updated:** 05/03/2013