Organization
THE HEART CENTER OF THE ORANGES
Active
Parent organization
MEDVANTX, INC.
Other names
The Heart Center of the Oranges- West Orange
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
77 MAIN ST, WEST ORANGE, NJ 07052-5495
(973) 324-2090
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
25MP00174600
NJ
Other
Enumeration date
09/19/2013
Last updated
01/23/2014
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