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Organization
VITAL MEDICAL FORCES OF DOVER PC
Active
Organization
VITAL MEDICAL FORCES OF DOVER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY L CARLSON (OFFICE MANAGER)
(973) 989-3085
Entity
Organization
Contact information
Practice address
400 WEST BLACKWELL ST, DOVER, NJ 07801
(973) 989-3085
(973) 989-3106
Mailing address
PO BOX 37, DENVILLE, NJ 07834
(973) 989-3085
(973) 989-3106
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098485
—
NJ
Enumeration date
07/19/2006
Last updated
08/07/2007
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