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VAULT MEDICAL GROUP PA NPI 1295348019


NPI Information

NPI: 1295348019
Provider Name: VAULT MEDICAL GROUP PA

Doing Business As: VAULT MEDICAL SERVICES PA

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
133 E 58TH ST STE 512
NEW YORK, NY
ZIP 10022
Phone: (212) 880-5494
Get Directions

VAULT MEDICAL GROUP PA is an internal medicine in New York, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. VAULT MEDICAL GROUP PA NPI is 1295348019. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vault Medical Services Pa.

The provider's business location address is:

133 E 58TH ST STE 512
NEW YORK, NY
ZIP 10022-145
Phone: (212) 880-5494

The provider's authorized official is Alexander Wojciech Pastuszak .
The authorized official title is Chief Clinical Officer and has the following contact phone number (415) 412-2934.

The enumeration date for this NPI number is 8/31/2020 and was last updated on 9/18/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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