Organization
VYTALIZE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FARIS GHAWI (CEO / CO-FOUNDER)
(202) 286-6666
Entity
Organization
Contact information
Practice address
1071 E FRANKLIN ST, CARTHAGE, MS 39051-3601
(601) 267-4562
Mailing address
2 HUDSON PL FL 6, HOBOKEN, NJ 07030-5594
(201) 205-2628
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/01/2020
Last updated
05/18/2021
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