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Organization
UNITED MEDICAL PC
Active
Organization
UNITED MEDICAL PC
Active
Parent organization
MEDVANTX, INC.
Other names
United Medical- Lyndhurst
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
SCOTT PETERSON (CFO)
(858) 964-1506
Entity
Organization
Contact information
Practice address
612 RUTHERFORD AVE, LYNDHURST, NJ 07071-1217
(201) 460-0063
Mailing address
9276 SCRANTON RD, SUITE 100, SAN DIEGO, CA 92121-7701
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25MA04594000
NJ
Other
Enumeration date
02/06/2014
Last updated
03/22/2017
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