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Organization

NEW VITAE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOAN MUTH (DIRECTOR, PROJECT MANAGEMENT)
(610) 965-9021
Entity
Organization

Contact information

Practice address
27 S. 55TH STREET, PHILADELPHIA, PA 19139-3247
(267) 499-4299
(267) 713-7372
Mailing address
PO BOX 1001, LIMEPORT, PA 18060-0010
(610) 965-9021
(610) 928-0174

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100745845
PA
Enumeration date
02/06/2019
Last updated
02/07/2019
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