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Organization
VYTALIZE HEALTH MEDICAL 2 LLC
Active
Organization
VYTALIZE HEALTH MEDICAL 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FARIS GHAWI (CEO)
(202) 286-6666
Entity
Organization
Contact information
Practice address
2 HUDSON PL FL 6, HOBOKEN, NJ 07030-5594
(201) 205-2628
Mailing address
2 HUDSON PL FL 6, HOBOKEN, NJ 07030-5594
(201) 205-2628
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
08/12/2020
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