Organization
UROLOGIC INSTITUTE OF NJ PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK H VITENSON M.D. (PRESIDENT)
(201) 489-8900
Entity
Organization
Contact information
Practice address
277 FOREST AVE, SUITE 206, PARAMUS, NJ 07652-5410
(201) 489-8900
(201) 489-0877
Mailing address
277 FOREST AVE, SUITE 206, PARAMUS, NJ 07652-5410
(201) 489-8900
(201) 489-0877
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
05/18/2006
Last updated
06/25/2009
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