Organization
VITAL DATA GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL KLEIN (AUTHORIZED OFFICIAL)
(845) 662-3654
Entity
Organization
Contact information
Practice address
2922 SE 11TH ST, OCALA, FL 34471-2756
(860) 983-3597
Mailing address
10 MOUNTAINVIEW RD STE N210, UPPER SADDLE RIVER, NJ 07458-1951
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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