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NPI Code Detail

MEDICARE: DR. JEFFREY WELLS DC

MEDICARE:  DR. JEFFREY  WELLS  DC
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
1111N00000XChiropractorMC04573NJ

General Provider Information

NPI Number : 1639292949
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY WELLS DC
Provider Business Mailing Address
First Line : 7 FALCON RD
Second Line :
City : FLANDERS
State : NJ
Zip : 07836-9437
Country : US
Telephone Number : 732-688-0690
Fax Number :
Provider Business Practice Location Address
First Line : 340 RAMAPO VALLEY RD
Second Line :
City : OAKLAND
State : NJ
Zip : 07436-2711
Country : US
Telephone Number : 201-651-9100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 04/07/2016

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Directions to “ DR. JEFFREY WELLS DC” Practice Location

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