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Organization
LIFELONG WELLNESS OF OHIO LLC
Active
Organization
LIFELONG WELLNESS OF OHIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAEL STEIN (MANAGER)
(732) 691-0470
Entity
Organization
Contact information
Practice address
31054 STATE ROUTE 93, MC ARTHUR, OH 45651-8925
(732) 691-0470
Mailing address
1074 TIMES SQUARE BLVD, LAKEWOOD, NJ 08701-5524
(732) 691-0470
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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