Medvance LLC
NPI #1801369582 in Ridgewood, New Jersey
Provider Information
- NPI Number
- 1801369582
- Entity Type
- Organization
- Organization Name
- Medvance LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 6, 2019
- Last Updated
- Jan 2, 2021
Practice Location
- Address
- 214 OAK ST
- City
- Ridgewood
- State
- New Jersey
- ZIP Code
- 07450-2511
- Phone
- (484) 288-8130
Authorized Official
- Name
- GAZALA DAVE
- Title
- OWNER
- Phone
- (484) 288-8130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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