Organization
JERSEY MED WELL
Active
Other names
TRI STATE WOUND
Organization subpart
No
Provider details
NPI number
Authorized official
IRA A KLEIN (OWNER)
(201) 842-3978
Entity
Organization
Contact information
Practice address
1913 ATLANTIC AVE STE 251-A, MANASQUAN, NJ 08736-1029
(718) 957-1342
Mailing address
1913 ATLANTIC AVE STE 251-A, MANASQUAN, NJ 08736-1029
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/22/2025
Last updated
05/27/2025
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