Organization
ALLURE MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY VAYSBLAT (PRACTICE ADMINISTRATOR)
(732) 851-7111
Entity
Organization
Contact information
Practice address
25 KILMER DR STE 105, MORGANVILLE, NJ 07751-1561
(732) 851-7111
(732) 851-7008
Mailing address
25 KILMER DR STE 105, MORGANVILLE, NJ 07751-1561
(732) 851-7111
(732) 851-7008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA08697900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135818
ABFM
NJ
Enumeration date
08/15/2016
Last updated
08/15/2016
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