Organization
AVANT GARDE TOTAL WELLNESS CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WILSON LMT CLT (OWNER)
(201) 615-7317
Entity
Organization
Contact information
Practice address
66 NEWARK POMPTON TPKE, RIVERDALE, NJ 07457-1420
(973) 858-9000
Mailing address
1151 MACOPIN RD, WEST MILFORD, NJ 07480-1508
(201) 615-7317
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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