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1669119368
VYTALIZE HEALTH OH ACO LLC
HOBOKEN, NJ
NPI
1669119368
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Entity Type
Organization
Authorized Contact
FARIS GHAWI
Owner
201-205-2628
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2022-05-16
Last Update Date
2022-05-16
Business Address
VYTALIZE HEALTH OH ACO LLC
2 HUDSON PL
HOBOKEN, NJ 07030-5594
Phone number: 201-205-2628
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Mailing Address
VYTALIZE HEALTH OH ACO LLC
2 HUDSON PL
HOBOKEN, NJ 07030-5594
Phone number: 201-205-2628
Copy
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