Vault Medical Services of New Jersey PC
NPI #1073102778 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1073102778
- Entity Type
- Organization
- Organization Name
- Vault Medical Services of New Jersey PC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jan 16, 2021
- Last Updated
- Feb 8, 2024
Practice Location
- Address
- 211 ESSEX ST STE 406
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-3231
- Phone
- (929) 388-1551
Authorized Official
- Name
- ALEXANDER WOJCIECH PASTUSZAK, MD PHD
- Title
- CHIEF MEDICAL OFFICER/OWNER
- Phone
- (929) 388-1551
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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