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Organization

STELLAR CLINIC NJ LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE WANG (CHIEF ADMINISTRATIVE OFFICER)
(415) 343-5839
Entity
Organization

Contact information

Practice address
7216 BERGENLINE AVE # 1003, NORTH BERGEN, NJ 07047-5489
(973) 320-7004
Mailing address
440 N BARRANCA AVE # 4885, COVINA, CA 91723-1722

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/18/2024
Last updated
06/18/2024
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