Organization
PURE WELLNESS MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID PETER SUAREZ DO (OWNER/MEDICAL DIRECTOR)
(855) 679-7873
Entity
Organization
Contact information
Practice address
199 WASHINGTON ST, NORTHVALE, NJ 07647-2118
(855) 679-7873
(855) 679-7873
Mailing address
22 BYRNE PL, BERGENFIELD, NJ 07621-1002
(347) 585-0208
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
12/21/2021
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