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NPI Code Detail

MEDICARE: WELL AND HEALTH NUTRITION SERVICES LLC

MEDICARE: WELL AND HEALTH NUTRITION SERVICES LLC
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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1982346706
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELL AND HEALTH NUTRITION SERVICES LLC
Provider Business Mailing Address
First Line : 25 POMPTON AVE STE 101
Second Line :
City : VERONA
State : NJ
Zip : 07044-2938
Country : US
Telephone Number :
Fax Number : 877-844-4791
Provider Business Practice Location Address
First Line : 25 POMPTON AVE STE 101
Second Line :
City : VERONA
State : NJ
Zip : 07044-2938
Country : US
Telephone Number : 201-575-1691
Fax Number : 877-844-4791
Authorized Official
Title or Position : OWNER
Name : MEREDITH J YORKIN
Credential : RD
Telephone Number : 201-575-1691
Provider Enumeration Date : 04/12/2022
Last Update Date : 04/29/2022

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Directions to “WELL AND HEALTH NUTRITION SERVICES LLC ” Practice Location

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