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Organization
WELLNESS PHYSICIAN CARE PLLC
Active
Organization
WELLNESS PHYSICIAN CARE PLLC
Active
Other names
QuikMed Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
EDMUND J ROACHE M.D. (OWNER)
(315) 785-7009
Entity
Organization
Contact information
Practice address
727 WASHINGTON ST, WATERTOWN, NY 13601-4031
(315) 785-7009
(315) 785-8566
Mailing address
PO BOX 91, WATERTOWN, NY 13601-0091
(315) 782-4207
(315) 782-8699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02779344
—
NY
Enumeration date
05/16/2006
Last updated
04/30/2008
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