Organization
ORIGIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEEZ-BETINA PETIT DC (FOUNDER)
(908) 494-5150
Entity
Organization
Contact information
Practice address
14 GALLAWAY LN, WILLINGBORO, NJ 08046-3226
(908) 494-5150
Mailing address
14 GALLAWAY LN, WILLINGBORO, NJ 08046-3226
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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