Organization
COMPLETE MEDICAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANA RITO (OWNER)
(201) 522-3205
Entity
Organization
Contact information
Practice address
162 ELMORA AVE STE 243, ELIZABETH, NJ 07202-1148
(201) 263-1771
(844) 243-8021
Mailing address
PO BOX 103, HILLSDALE, NJ 07642-0103
(201) 263-1771
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
207U00000X
Nuclear Medicine Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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