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Organization

UNION COUNTY HEALTHCARE ASSOCIATES LLC

Active
Parent organization
MEDVANTX, INC.
Other names
Union County Healthcare Associates- Westfield
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
400 WESTFIELD AVE, ELIZABETH, NJ 07208-1621
(908) 620-9009
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
25MA07616500
NJ

Other

Enumeration date
05/01/2014
Last updated
05/01/2014
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