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Organization
VITALITY MEDICAL ASSOCIATES
Active
Organization
VITALITY MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT SIU M.D. (PRESIDENT)
(862) 239-6667
Entity
Organization
Contact information
Practice address
561 EAST 28TH STREET, PATERSON, NJ 07504-1862
(862) 239-6667
(973) 947-1300
Mailing address
P.O. BOX 193, LIVINGSTON, NJ 07039-9998
(862) 239-6667
(973) 947-1300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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