# PLAZA WEST DIAGNOSTIC & TREATMENT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Diagnostic & Treatment Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477710317
- **Authorized official:** DR. MICHAEL G. VINCENT MD (PHYSICIAN/OWNER/ADMINISTRATOR)
- **Authorized official phone:** (201) 585-8105

## Contact information

- **Practice address:** 1475 BERGEN BLVD, FORT LEE, NJ 07024-2176
- **Practice address phone:** (201) 585-8105
- **Practice address fax:** (201) 585-9862
- **Mailing address:** 1475 BERGEN BLVD, FORT LEE, NJ 07024-2176
- **Mailing address phone:** (201) 585-8105
- **Mailing address fax:** (201) 585-9862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 32407 | NJ | Yes |

## Other

- **Enumeration date:** 05/19/2008
- **Last updated:** 05/19/2008