Organization
NEXGEN WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE ODOM (ADMINISTRATOR)
(973) 557-1506
Entity
Organization
Contact information
Practice address
231 MAIN ST UNIT 266, FORT LEE, NJ 07024-5740
(973) 557-1506
(973) 954-2115
Mailing address
231 MAIN ST UNIT 266, FORT LEE, NJ 07024-5740
(973) 557-1506
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
05/26/2020
Last updated
10/12/2023
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