Organization
VAST ARRAY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRI LEI BEIDEMAN (CHIEF EXECUTIVE OFFICER)
(732) 279-4939
Entity
Organization
Contact information
Practice address
1000 BENNETT BLVD, SUITE 8, LAKEWOOD, NJ 08701-5944
(732) 279-4939
(732) 279-4522
Mailing address
1000 BENNETT BLVD, SUITE 8, LAKEWOOD, NJ 08701-5944
(732) 279-4939
(732) 279-4522
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
NJ
Other
Enumeration date
12/26/2015
Last updated
12/26/2015
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