Vance Medical Group

NPI #1053887596 in Paterson, New Jersey

Provider Information

NPI Number: 1053887596
Entity Type: Organization
Organization Name: Vance Medical Group
Primary Specialty: Internal Medicine
Enumeration Date: Oct 23, 2018
Last Updated: Oct 23, 2018

Practice Location

Address: 703 MAIN ST
City: Paterson
State: New Jersey
ZIP Code: 07503-2621
Phone: (973) 754-2000

Authorized Official

Name: SOURAV SEN, MD
Title: AUTH REP
Phone: (973) 653-8076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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