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Organization

NU FORMA WELLNESS NJ LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRANCIS ONWOCHEI MD (MEDICAL DIRECTOR)
(516) 603-4284
Entity
Organization

Contact information

Practice address
127 VALLEY RD, MONTCLAIR, NJ 07042-2370
(212) 448-5996
Mailing address
127 VALLEY RD, MONTCLAIR, NJ 07042-2370
(212) 448-5996

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
04/03/2024
Last updated
04/17/2024
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