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Organization

VITAMED FAMILY PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TADEUSZ JANUSZ MAJCHRZAK MD (PRESIDENT)
(201) 963-0800
Entity
Organization

Contact information

Practice address
3000 KENNEDY BLVD, SUITE 308, JERSEY CITY, NJ 07306
(201) 963-0800
(201) 656-6934
Mailing address
3000 KENNEDY BLVD, SUITE 308, JERSEY CITY, NJ 07306
(201) 963-0800
(201) 656-6934

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
MA5867500
NJ
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
MA5867500
NJ

Other

Enumeration date
11/16/2006
Last updated
05/11/2018
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