Organization
AXIOMWELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KIM (OWNER)
(201) 944-4552
Entity
Organization
Contact information
Practice address
2357 LEMOINE AVE, FORT LEE, NJ 07024
(201) 944-4552
(201) 944-6551
Mailing address
2357 LEMOINE AVE, FORT LEE, NJ 07024-6229
(201) 944-4552
(201) 944-6551
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
38MC00613700
NJ
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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