Organization
VITAL MOBILE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER VILENCHIK (PRESIDENT)
(732) 549-1333
Entity
Organization
Contact information
Practice address
26 OLIVER STREET, METUCHEN, NJ 08840
(732) 549-1333
(732) 549-2149
Mailing address
402 MAIN ST STE 100-255, METUCHEN, NJ 08840-1846
(732) 549-1333
(732) 549-2149
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
NOT AVAILABLE
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1018072
AETNA
NJ
01
—
1078680
HORIZON - MERCY
NJ
05
—
5165300
—
NJ
01
—
590009412
RAIL ROAD MEDICARE
NJ
01
—
A1537303
OXFORD
NJ
01
—
NL6204
HEALTHNET
NJ
Enumeration date
11/03/2005
Last updated
10/28/2009
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