Organization
VANTAGE HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VISHAL KUCHACULLA (OWNER)
(781) 867-2050
Entity
Organization
Contact information
Practice address
9 LEWIS RD, KITTERY, ME 03904-5410
(781) 867-2050
Mailing address
45 DAN RD, CANTON, MA 02021-2852
(781) 867-2050
(781) 867-2040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
09/16/2024
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