Organization
CT MEDICAL AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMELINA TIRRI MD (MEMBER)
(201) 341-8604
Entity
Organization
Contact information
Practice address
250 MADISON AVE, PATERSON, NJ 07524-1814
(973) 956-5700
Mailing address
61 BOGERT DR, NORTH HALEDON, NJ 07508-2905
(201) 341-8604
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA067115
NJ STATE MEDICAL LICENCSE
NJ
Enumeration date
12/17/2024
Last updated
01/01/2025
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