Organization
VANTAGE HEALTH SYSTEM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH TRELOAR (PATIENT ACCOUNT MANAGER)
(201) 355-4400
Entity
Organization
Contact information
Practice address
2 PARK AVE, DUMONT, NJ 07628-3004
(201) 385-4400
(201) 384-7067
Mailing address
2 PARK AVE, DUMONT, NJ 07628-3004
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0480126
—
NJ
Enumeration date
10/18/2017
Last updated
10/18/2017
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