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Organization
XBODY HEALTH & WELLNESS PA
Active
Organization
XBODY HEALTH & WELLNESS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA SHARAHY MD (OWNER)
(973) 692-9631
Entity
Organization
Contact information
Practice address
87 BERDAN AVE, STE 4, WAYNE, NJ 07470-3210
(973) 692-9631
Mailing address
87 BERDAN AVE, STE 4, WAYNE, NJ 07470-3210
(973) 692-9631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07099100
NJ
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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