Healthcare Provider Details

I. General information

NPI: 1669252540
Provider Name (Legal Business Name): ALL ABOUT WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2023
Last Update Date: 01/01/2024
Certification Date: 01/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1139 RARITAN RD STE 204
CLARK NJ
07066-1344
US

IV. Provider business mailing address

576 STATE ROUTE 94
COLUMBIA NJ
07832-2523
US

V. Phone/Fax

Practice location:
  • Phone: 732-669-0999
  • Fax: 732-669-0994
Mailing address:
  • Phone: 908-496-9400
  • Fax: 908-496-9400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY GREENBERG
Title or Position: TREASURER
Credential: MD
Phone: 908-496-9400