Organization
UNITED MEDICAL PC
Active
Parent organization
MEDVANTX, INC.
Other names
United Medical- Clifton
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
533 LEXINGTON AVE, CLIFTON, NJ 07011
(973) 546-6844
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25MA08680300
NJ
Other
Enumeration date
02/06/2014
Last updated
07/24/2015
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