| NPI | 1740649268 |
|---|---|
| Other Name | VANGUARD MEDICAL GROUP, PA |
| Entity Type | Organization |
| Authorized Contact | RONISHA KATRINA SCALES Credentialing 973-559-3700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2024-02-26 |