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Organization

VANTAGE HEALTH SYSTEM, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICTORIA L. SIDROW (PRESIDENT & CEO)
(201) 385-4400
Entity
Organization

Contact information

Practice address
93 W PALISADE AVE, ENGLEWOOD, NJ 07631-2611
(201) 567-5500
(201) 567-9335
Mailing address
93 W PALISADE AVE, ENGLEWOOD, NJ 07631-2611
(201) 567-5500
(201) 567-9335

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
923550204
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005916
NJ
Enumeration date
03/15/2007
Last updated
05/30/2013
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