Organization
CPC INTEGRATED HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANN WAGNER (CHIEF INFORMATION OFFICER)
(732) 935-2247
Entity
Organization
Contact information
Practice address
270 HIGHWAY 35, RED BANK, NJ 07701-5920
(732) 842-2000
Mailing address
10 INDUSTRIAL WAY E STE 108, EATONTOWN, NJ 07724-3332
(732) 935-2220
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2000332
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0410128
—
NJ
Enumeration date
08/15/2014
Last updated
05/05/2026
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