Healthcare Provider Details

I. General information

NPI: 1972650828
Provider Name (Legal Business Name): WASHINGTON WELLNESS CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 03/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 WASHINGTON BLVD
ROBBINSVILLE NJ
08691-3119
US

IV. Provider business mailing address

1005 WASHINGTON BLVD
ROBBINSVILLE NJ
08691-3119
US

V. Phone/Fax

Practice location:
  • Phone: 609-426-1700
  • Fax: 609-426-0099
Mailing address:
  • Phone: 609-426-1700
  • Fax: 609-426-0099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberQA04979
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number25MZ00027500
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00334600
License Number StateNJ

VIII. Authorized Official

Name: DR. DAVID JOSEPH SWANEKAMP
Title or Position: OWNER
Credential: DC
Phone: 609-426-1700