Organization
VSH MEDICAL & DIAGNOSTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILE I RANGEL M.D. (MEDICAL DIRECTOR)
(201) 868-8686
Entity
Organization
Contact information
Practice address
6804 BERGENLINE AVE, GUTTENBERG, NJ 07093-1826
(201) 868-8686
(201) 868-0086
Mailing address
6804 BERGENLINE AVE, GUTTENBERG, NJ 07093-1826
(201) 868-8686
(201) 868-0086
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MA066179
NJ
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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