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General NPI Number Information
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NPI Number | 1750200382
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Entity Type | Organization
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Legal Business Name | VIGOR HEALTH & WELLNESS PC
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 1225 MCBRIDE AVE STE 203
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City | WOODLAND PARK
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State | NJ
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Zip | 07424-3813
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Country | US
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Telephone | 973-396-7224
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Fax | 973-339-9903
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Provider Business Mailing Address
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Address Line | 1225 MCBRIDE AVE STE 203
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City | WOODLAND PARK
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State | NJ
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Zip | 07424-3813
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Country | US
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Telephone | 973-396-7224
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Fax | 973-339-9903
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Authorized Official
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Title or Position | OWNER
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Name | GRIGORY SHTENDER
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Credential | MD
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Telephone | 917-797-1208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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