# PHYSICIAN WELLNESS CONSULTANTS, LLC

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

## Provider details

- **NPI number:** 1558852806
- **Authorized official:** GARY DALEY MS (VOLUNTEER)
- **Authorized official phone:** (201) 421-2609

## Contact information

- **Practice address:** 700 AVENUE C STE 1, BAYONNE, NJ 07002-5837
- **Practice address phone:** (201) 471-2609
- **Mailing address:** 34 COLLEGE DR, JERSEY CITY, NJ 07305-1003
- **Mailing address phone:** (973) 407-0695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2018
- **Last updated:** 05/22/2018