Organization
PASSAIC MEDICAL WALK-IN AND WELLNESS CENTER LLC
Active
Other names
Passaic Medical & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LEE (OFFICE MANAGER)
(732) 429-7165
Entity
Organization
Contact information
Practice address
916 MAIN AVE, PASSAIC, NJ 07055-8545
(732) 429-7165
Mailing address
916 MAIN AVE, SUITE 2B, PASSAIC, NJ 07055-8545
(732) 429-7165
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2016
Last updated
12/13/2017
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