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General NPI Number Information
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NPI Number | 1598632929
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Entity Type | Organization
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Legal Business Name | WELLTEL PA PC
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 128 KASI CIR
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City | IVYLAND
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State | PA
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Zip | 18974-1654
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Country | US
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Telephone | 929-409-2175
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Fax |
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Provider Business Mailing Address
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Address Line | 9 BEAR TRL
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City | JACKSON
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State | NJ
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Zip | 08527-2915
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Country | US
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Telephone | 929-409-2175
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DOV KRANZ
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Credential |
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Telephone | 929-409-2175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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