Organization
INTEGRATED HEALTHCARE GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN VITIEVSKY M.D. (OWNER)
(201) 866-3100
Entity
Organization
Contact information
Practice address
5600 KENNEDY BLVD W, WEST NEW YORK, NJ 07093-1256
(201) 866-3100
(201) 866-0321
Mailing address
PO BOX 7664, NORTH BRUNSWICK, NJ 08902-7664
(201) 866-3100
(201) 866-0321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076911
—
NJ
Enumeration date
09/14/2006
Last updated
02/16/2025
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