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Organization

THE KEANSBURG WELLNESS CENTER PE LLC

Active
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Organization

THE KEANSBURG WELLNESS CENTER PE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DENISE CAMMARATA (CREDENTIALING)
(646) 421-3566
Entity
Organization

Contact information

Practice address
204 MAIN ST, KEANSBURG, NJ 07734-1735
(732) 495-1474
(718) 679-9285
Mailing address
233 GIFFORDS LN, STATEN ISLAND, NY 10308-2044
(732) 495-1474
(718) 679-9285

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
03/06/2026
Last updated
03/11/2026
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