# INTEGRATIVE WELLNESS & COSMETICS, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Studio 17 Cosmetics & Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821505462
- **Authorized official:** DR. BRIZA WALTER M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (201) 301-4344

## Contact information

- **Practice address:** 601 9TH ST, HOBOKEN, NJ 07030-6428
- **Practice address phone:** (201) 301-4344
- **Mailing address:** 65 WINDSOR DR, PINE BROOK, NJ 07058-9757
- **Mailing address phone:** (973) 908-3368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 25MA09325400 | NJ | Yes |

## Other

- **Enumeration date:** 01/04/2018
- **Last updated:** 08/17/2020