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NPI Code Detail

MEDICARE: DO WELL BE WELL OF HASKELL

MEDICARE: DO WELL BE WELL OF HASKELL
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
1133NN1002XNutrition Education Nutritionist
2163W00000XRegistered Nurse
3183500000XPharmacist
42083P0011XUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
52083P0901XPublic Health & General Preventive Medicine Physician
6208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1154760841
Entity Type Code : Organization
Provider Name (Legal Business Name) : DO WELL BE WELL OF HASKELL
Provider Business Mailing Address
First Line : 1141 RINGWOOD AVE
Second Line : SUITE 7
City : HASKELL
State : NJ
Zip : 07420-1565
Country : US
Telephone Number : 973-831-2880
Fax Number : 862-248-0528
Provider Business Practice Location Address
First Line : 1141 RINGWOOD AVE
Second Line : SUITE 7
City : HASKELL
State : NJ
Zip : 07420-1565
Country : US
Telephone Number : 973-831-2880
Fax Number : 862-248-0528
Authorized Official
Title or Position : OWNER
Name : DR. KEVIN HALL
Credential : MD
Telephone Number : 973-831-2880
Provider Enumeration Date : 06/17/2013
Last Update Date : 06/17/2013

Similar Medicare Providers

1659366904 — DR. JEFFREY TODD SMITH DO
Practice Location Address:
1141 RINGWOOD AVE , SUITE 7
HASKELL, NJ
07420-1565
Practice Phone: 973-835-6777
Practice Fax:
1497948665 — HASKELL TOWNE MEDICAL, LLC
Practice Location Address:
1141 RINGWOOD AVE , SUITE 7
HASKELL, NJ
07420-1565
Practice Phone: 973-835-6777
Practice Fax:
1801222302 — JENNAN GALLANTHEN RN
Practice Location Address:
1141 RINGWOOD AVE , SUITE 7
HASKELL, NJ
07420-1565
Practice Phone: 973-831-2880
Practice Fax: 862-248-0528
1164114179 — ANN L PINON FNP, PMHNP
Practice Location Address:
1069 RINGWOOD AVE
HASKELL, NJ
07420-1408
Practice Phone: 201-286-0860
Practice Fax:
1205594512 — NU IMAGERY HEALTHCARELLC
Practice Location Address:
1069 RINGWOOD AVE STE 210B
HASKELL, NJ
07420-1451
Practice Phone: 201-350-7225
Practice Fax:
1184668493 — COMMUNITY FAMILY HEALTH AND WELLNESS CENTER INC.
Practice Location Address:
909 RINGWOOD AVE
HASKELL, NJ
07420-1343
Practice Phone: 973-831-6700
Practice Fax: 973-831-6703

Directions to “DO WELL BE WELL OF HASKELL ” Practice Location

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