Healthcare Provider Details

I. General information

NPI: 1972753119
Provider Name (Legal Business Name): SELECT WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2008
Last Update Date: 09/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 IRVINGTON ST
WESTWOOD NJ
07675-1753
US

IV. Provider business mailing address

10 IRVINGTON ST
WESTWOOD NJ
07675-1753
US

V. Phone/Fax

Practice location:
  • Phone: 201-664-9200
  • Fax: 201-664-9277
Mailing address:
  • Phone: 201-664-9200
  • Fax: 201-664-9277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00666000
License Number StateNJ

VIII. Authorized Official

Name: CHRISTOPHER J ALEPA
Title or Position: OWNER
Credential: D.C
Phone: 201-664-9200