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NPI Code Detail

MEDICARE: UNIVERSAL WELLNESS MEDICAL INC

MEDICARE: UNIVERSAL WELLNESS MEDICAL INC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1285248179
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSAL WELLNESS MEDICAL INC
Provider Business Mailing Address
First Line : 251 ROCHELLE AVE
Second Line :
City : ROCHELLE PARK
State : NJ
Zip : 07662-3914
Country : US
Telephone Number : 201-291-1616
Fax Number : 201-291-0637
Provider Business Practice Location Address
First Line : 251 ROCHELLE AVE
Second Line :
City : ROCHELLE PARK
State : NJ
Zip : 07662-3914
Country : US
Telephone Number : 201-291-1616
Fax Number : 201-291-0637
Authorized Official
Title or Position : OWNER
Name : DR. STEPHEN JOHN CONTE SR.
Credential : DO
Telephone Number : 201-291-1616
Provider Enumeration Date : 09/08/2020
Last Update Date : 09/08/2020

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Directions to “UNIVERSAL WELLNESS MEDICAL INC ” Practice Location

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