Organization · Type 2 NPI
Vital Health Centers
Addiction Medicine (Anesthesiology) Physician · Hawthorne, NJ
NPI number
1386450674
Active
Practice location
290 Lafayette Ave Ste 203
Hawthorne, NJ 07506-1928
Mailing address
10 Bromley Ct
Voorhees, NJ 08043-3922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Anesthesiology) Physician Primary | 207LA0401X | None listed |
Addiction Medicine (Anesthesiology) Physician: An anesthesiologist who specializes in the diagnosis and treatment of addictions.
Another provider at this address
About NPI 1386450674
Vital Health Centers's National Provider Identifier is 1386450674, issued on Dec 10, 2024. The primary taxonomy on file is Addiction Medicine (Anesthesiology) Physician (207LA0401X), and the practice location is in Hawthorne, NJ. The record was last updated on Feb 3, 2025.