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NPI Code Detail

MEDICARE: IRA VOUGHT DO

MEDICARE: IRA VOUGHT DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1689379463
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRA VOUGHT DO
Provider Business Mailing Address
First Line : 27 FENIMORE RD
Second Line :
City : LUMBERTON
State : NJ
Zip : 08048-9517
Country : US
Telephone Number : 609-405-0202
Fax Number :
Provider Business Practice Location Address
First Line : 100 MADISON AVE
Second Line :
City : MORRISTOWN
State : NJ
Zip : 07960-6136
Country : US
Telephone Number : 973-971-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2023
Last Update Date : 04/03/2023

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Directions to “ IRA VOUGHT DO” Practice Location

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