Organization
VANGUARD MEDICAL GROUP, PA
Active
Parent organization
VANGUARD MEDICAL GROUP, PA
Other names
Vanguard Medical Group, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
VANGUARD MEDICAL GROUP, PA
Authorized official
RONISHA KATRINA SCALES (CREDENTIALING)
(973) 559-3700
Entity
Organization
Contact information
Practice address
271 GROVE AVE STE E, VERONA, NJ 07044-1730
(973) 559-3700
(833) 484-1686
Mailing address
271 GROVE AVE STE E, VERONA, NJ 07044-1730
(973) 559-3700
(833) 484-1686
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
02/11/2016
Last updated
02/26/2024
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