Organization
LONGEVITY WELLNESS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN J CONTE DO (PRESIDENT)
(201) 291-1616
Entity
Organization
Contact information
Practice address
251 ROCHELLE AVE, ROCHELLE PARK, NJ 07662-3914
(201) 291-1616
(201) 291-1619
Mailing address
201 W PASSAIC ST STE 301, ROCHELLE PARK, NJ 07662-3126
(201) 291-1616
(201) 291-1619
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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