# KWAKS WELLNESS SYSTEM INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kwaks Kinesi-Therapy System
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568671840
- **Authorized official:** DR. CHARLES KWAK (PRESIDENT)
- **Authorized official phone:** (732) 356-2828

## Contact information

- **Practice address:** 172 WASHINGTON VALLEY RD, WARREN, NJ 07059-7133
- **Practice address phone:** (732) 356-2828
- **Practice address fax:** (732) 356-2466
- **Mailing address:** 172 WASHINGTON VALLEY RD, WARREN, NJ 07059-7133
- **Mailing address phone:** (732) 356-2828
- **Mailing address fax:** (732) 356-2466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/22/2020
