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Organization
PRIMARY CARE FOR THE HOMEBOUND PA
Active
Organization
PRIMARY CARE FOR THE HOMEBOUND PA
Active
Parent organization
VANGUARD MEDICAL GROUP, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
VANGUARD MEDICAL GROUP, PA
Authorized official
RONISHA KATRINA SCALES (CREDENTIALING SPECIALIST)
(973) 559-3700
Entity
Organization
Contact information
Practice address
271 GROVE AVE STE A, VERONA, NJ 07044-1731
(973) 239-2600
(833) 484-1686
Mailing address
290 W MOUNT PLEASANT AVE STE 2400, LIVINGSTON, NJ 07039-2761
(973) 559-3700
(833) 484-1686
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA04268300
NJ
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
11/12/2013
Last updated
09/01/2026
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