# ADAPTIVE HEALTHCARE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013573047
- **Authorized official:** JEREMY WELWARTH (MEDICAL DIRECTOR)
- **Authorized official phone:** (833) 223-2266

## Contact information

- **Practice address:** 1075 STEPHENSON AVE STE D-2, OCEANPORT, NJ 07757-1242
- **Practice address phone:** (833) 223-2266
- **Practice address fax:** (732) 783-0323
- **Mailing address:** 1075 STEPHENSON AVE STE D-2, OCEANPORT, NJ 07757-1242
- **Mailing address phone:** (833) 223-2266
- **Mailing address fax:** (732) 783-0323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | — | NULL | Yes |
| 202K00000X | Phlebology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2019
- **Last updated:** 05/30/2019