Organization Name: | VSH MEDICAL & DIAGNOSTIC CENTER, INC. |
NPI Number: | 1457796492 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EMILE I RANGEL (MEDICAL DIRECTOR) |
Mailing Address: | 6804 Bergenline Ave Guttenberg |
State: | NJ US |
Postal Code: | 070931826 |
Phone Number: | 2018688686 |
Fax Number: | 2018680086 |
NPI Enumeration Date: | 05/03/2013 |
NPI Last Update Date: | 05/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | MA066179 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |