Organization
ESSENTIA HEALTH AND WELLNESS CENTER
Active
Other names
EssentiaMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLAVIA ANNETTE DE LA CRUZ M.D. (CEO)
(973) 483-6800
Entity
Organization
Contact information
Practice address
587 WESTMINSTER AVE OFC, ELIZABETH, NJ 07208-2206
(973) 483-6800
(201) 645-3787
Mailing address
48 VERBICKAS DR, WOODLAND PARK, NJ 07424-3720
(973) 483-6800
(973) 776-1166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08833900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0309826
—
NJ
Enumeration date
09/05/2014
Last updated
01/24/2022
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