# VITAMED FAMILY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962575167
- **Authorized official:** TADEUSZ JANUSZ MAJCHRZAK MD (PRESIDENT)
- **Authorized official phone:** (201) 963-0800

## Contact information

- **Practice address:** 3000 KENNEDY BLVD, SUITE 308, JERSEY CITY, NJ 07306
- **Practice address phone:** (201) 963-0800
- **Practice address fax:** (201) 656-6934
- **Mailing address:** 3000 KENNEDY BLVD, SUITE 308, JERSEY CITY, NJ 07306
- **Mailing address phone:** (201) 963-0800
- **Mailing address fax:** (201) 656-6934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | MA5867500 | NJ | — |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | MA5867500 | NJ | Yes |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 05/11/2018