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Organization

VITAFLO USA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JENNIFER SZYMANSKI (GENERAL MANAGER)
(571) 527-7794
Entity
Organization

Contact information

Practice address
211 N UNION ST, SUITE 100, ALEXANDRIA, VA 22314-2657
(631) 972-8985
(631) 693-2002
Mailing address
211 N UNION ST, SUITE 100, ALEXANDRIA, VA 22314-2657
(631) 972-8985
(631) 693-2002

Taxonomy

Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
831695
TUFTS HEALTH PLAN
NY
01
N96583
GUARDIAN HEALTH INSURANCE
NY
01
VI0S75E810
EMPIRE BLUE CROSS
NY
Enumeration date
09/15/2006
Last updated
01/27/2011
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