Organization
VITALEASE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER RAZZAQ (OWNER)
(570) 554-2248
Entity
Organization
Contact information
Practice address
110 PENNSYLVANIA AVE, BANGOR, PA 18013-1923
(570) 554-2248
Mailing address
110 PENNSYLVANIA AVE, BANGOR, PA 18013-1923
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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